Healthcare Provider Details

I. General information

NPI: 1700780483
Provider Name (Legal Business Name): PIPER DAVIS HUFFMAN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

396 REMINGTON BLVD STE 225
BOLINGBROOK IL
60440-4302
US

IV. Provider business mailing address

722 N MADISON ST
HINSDALE IL
60521-2835
US

V. Phone/Fax

Practice location:
  • Phone: 630-312-5901
  • Fax:
Mailing address:
  • Phone: 630-484-5832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: