Healthcare Provider Details

I. General information

NPI: 1710815774
Provider Name (Legal Business Name): JANEL LYNN FEATHERSTONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11860 SOUTHWEST HWY
PALOS HEIGHTS IL
60463-1036
US

IV. Provider business mailing address

8701 ROYAL SWAN LN
DARIEN IL
60561-8433
US

V. Phone/Fax

Practice location:
  • Phone: 708-361-4555
  • Fax:
Mailing address:
  • Phone: 630-841-9367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070-009898
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: