Healthcare Provider Details

I. General information

NPI: 1689725897
Provider Name (Legal Business Name): ELIZABETH MARY SAIP DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. ELIZABETH MARY ZAHN

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 10/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 W WINCHESTER RD STE 108
LIBERTYVILLE IL
60048-5312
US

IV. Provider business mailing address

655 E PENNSYLVANIA DR APT 3
PALATINE IL
60074-1975
US

V. Phone/Fax

Practice location:
  • Phone: 847-573-9486
  • Fax: 847-549-6139
Mailing address:
  • Phone: 847-573-9486
  • Fax: 847-549-6139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070014667
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: