Individual
DANIELLE M ADOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2081 RIDGE RD, SUITE 101, MINOOKA, IL 60447-8848
(815) 467-1612
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-015921
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01048510
MEDICARE RAILROAD
IL
01
—
P01328076
RAILROAD MEDICARE
IL
Enumeration date
08/31/2007
Last updated
08/13/2014
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