Individual
HOLLY K WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
400 E HILLCREST DR STE 110, DEKALB, IL 60115-2470
(800) 974-4378
(630) 515-1536
Mailing address
24014 W RENWICK RD UNIT 206, PLAINFIELD, IL 60544-8711
(800) 974-4378
(630) 515-1536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070024873
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070024873
STATE OF ILLINOIS
IL
Enumeration date
11/26/2019
Last updated
11/13/2024
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