Healthcare Provider Details

I. General information

NPI: 1124641618
Provider Name (Legal Business Name): ERIN CHRISTINE BELAN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIN C TAYLOR PT, DPT

II. Dates (important events)

Enumeration Date: 05/19/2020
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4445 W IRVING PARK RD STE 300
CHICAGO IL
60641-2808
US

IV. Provider business mailing address

4445 W IRVING PARK RD STE 300
CHICAGO IL
60641-2808
US

V. Phone/Fax

Practice location:
  • Phone: 630-933-1500
  • Fax: 630-933-1550
Mailing address:
  • Phone: 630-933-1500
  • Fax: 630-933-1550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070024293
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: