Healthcare Provider Details

I. General information

NPI: 1598808305
Provider Name (Legal Business Name): BRIGID COLLEEN DRISCOLL P.T., C.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 N CHILDRENS PLZ BOX 46
CHICAGO IL
60614-3363
US

IV. Provider business mailing address

4108 N SOUTHPORT AVE UNIT 3
CHICAGO IL
60613-1911
US

V. Phone/Fax

Practice location:
  • Phone: 773-327-1022
  • Fax: 773-327-1054
Mailing address:
  • Phone: 773-576-2610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5069-024
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: