Individual
MRS. SUSAN W. HARTNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3703 WEST LAKE AVE, STE 200, GLENVIEW, IL 60026-1223
(847) 998-1188
Mailing address
8019 KARLOV AVE, SKOKIE, IL 60076-3223
(847) 675-4229
(847) 537-0671
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160001013
IL
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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