Healthcare Provider Details
I. General information
NPI: 1770497919
Provider Name (Legal Business Name): MADELINE HOWLAND DPT
Entity Type: Individual
Gender:
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
795 SUMMIT ST
ELGIN IL
60120-4313
US
IV. Provider business mailing address
2122 YORK RD STE 300
OAK BROOK IL
60523-1925
US
V. Phone/Fax
- Phone: 847-289-6500
- Fax: 847-289-6700
- Phone: 630-575-6200
- Fax: 410-648-4878
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 070040259 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: