Individual
MS. CARA MCINERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9645 S WESTERN AVE, CHICAGO, IL 60643-1722
(773) 239-2734
(773) 239-2784
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070015000
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00943123
MEDICARE RAILROAD
IL
Enumeration date
02/07/2007
Last updated
08/22/2011
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