Individual
BAMBI S PENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2700 KESLINGER RD, SUITE C, GENEVA, IL 60134-4645
(630) 262-2633
(630) 262-2643
Mailing address
1377 MOTOR PKWY, STE 307, ISLANDIA, NY 11749-5258
(630) 466-9240
(630) 262-2643
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070003064
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70003064
LICENSE
IL
Enumeration date
06/19/2006
Last updated
03/16/2017
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