Healthcare Provider Details

I. General information

NPI: 1720167885
Provider Name (Legal Business Name): JOCELYN TAUTERIS ZOLNA-PITTS P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOCELYN ZOLNA P.T.

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 03/30/2022
Certification Date: 03/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 S CLARK ST STE 1020
CHICAGO IL
60603-1858
US

IV. Provider business mailing address

24014 W RENWICK RD STE F
PLAINFIELD IL
60544-8708
US

V. Phone/Fax

Practice location:
  • Phone: 800-974-4378
  • Fax: 630-515-1536
Mailing address:
  • Phone: 800-974-4378
  • Fax: 630-515-1536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070014436
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: