Individual
HETAL S KULKARNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MS
Contact information
Practice address
1733 W CRYSTAL ST UNIT D, CHICAGO, IL 60622-8801
(317) 979-5242
Mailing address
1733 W CRYSTAL ST UNIT D, CHICAGO, IL 60622-8801
(317) 979-5242
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070019149
IL
225100000X
Physical Therapist
5501015197
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070019149
PHYSICAL THERAPY LICENSE
IL
01
—
5501015197
PHYSICAL THERAPY LICENSE
MI
Enumeration date
05/27/2010
Last updated
11/12/2024
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