MEDICARE: HEATHER KATTLEMAN DEGREGORIO PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist		IL

General Provider Information

NPI Number	:	1124131313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER KATTLEMAN DEGREGORIO PT

Provider Business Mailing Address
First Line	:	533 W NORTH AVE
Second Line	:	SUITE 50
City	:	ELMHURST
State	:	IL
Zip	:	60126-2135
Country	:	US
Telephone Number	:	630-832-6919
Fax Number	:	630-832-6928

Provider Business Practice Location Address
First Line	:	800 S WELLS ST
Second Line	:	SUITE M5
City	:	CHICAGO
State	:	IL
Zip	:	60607-4529
Country	:	US
Telephone Number	:	312-431-7961
Fax Number	:	312-431-7644

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	07/08/2007

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