Individual
ALYSSA K ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
972 BROOK FOREST AVE, SHOREWOOD, IL 60404-8807
(815) 439-4938
(815) 439-7816
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-3251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070018667
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01260739
MEDICARE RAILROAD
IL
Enumeration date
11/27/2011
Last updated
02/24/2015
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