Individual
JILL S. KEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1212 MEMORIAL DR, STE. 1, MANITOWOC, WI 54220-2247
(262) 241-6777
(262) 241-6774
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10184-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40407900
—
WI
01
—
P00242524
RAILROAD MEDICARE
WI
Enumeration date
08/16/2006
Last updated
08/07/2014
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