Healthcare Provider Details

I. General information

NPI: 1588592828
Provider Name (Legal Business Name): CY WHITLER PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 N STATE ST
CHICAGO IL
60654-3820
US

IV. Provider business mailing address

710 N STATE ST
CHICAGO IL
60654-3820
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 Number070.039719
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: