Individual
CHERYL BIEDERSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1650 45TH AVE STE 2D, MUNSTER, IN 46321-3960
(219) 836-4921
(219) 836-4923
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
05010451A
IN
225100000X
Physical Therapist
070018053
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201112310
—
IN
Enumeration date
01/12/2012
Last updated
01/14/2015
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