MEDICARE: MICHELLE FINK MPT

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	070.008575	IL

General Provider Information

NPI Number	:	1790857159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE FINK MPT

Provider Business Mailing Address
First Line	:	7023 WILLOW SPRINGS RD 101
Second Line	:
City	:	COUNTRYSIDE
State	:	IL
Zip	:	60525-4842
Country	:	US
Telephone Number	:	708-937-9249
Fax Number	:	708-937-9260

Provider Business Practice Location Address
First Line	:	7023 WILLOW SPRINGS RD 101
Second Line	:
City	:	COUNTRYSIDE
State	:	IL
Zip	:	60525-4842
Country	:	US
Telephone Number	:	708-937-9249
Fax Number	:	708-937-9260

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

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	08/21/2015

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Directions to “ MICHELLE FINK MPT” Practice Location

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