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NPI Code Detail

MEDICARE: ELIZABETH YERLY HILSEN PT

MEDICARE: ELIZABETH YERLY HILSEN PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist070014076IL
22255A2300XAthletic Trainer096001999IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1US DEPT OF LABOROTHERIL367885100

General Provider Information

NPI Number : 1316997919
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH YERLY HILSEN PT
Provider Business Mailing Address
First Line : 1103 S STATE ST STE 300
Second Line :
City : CHICAGO
State : IL
Zip : 60605-2775
Country : US
Telephone Number : 312-877-5101
Fax Number :
Provider Business Practice Location Address
First Line : 1103 S STATE ST STE 300
Second Line :
City : CHICAGO
State : IL
Zip : 60605-2775
Country : US
Telephone Number : 312-877-5101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 10/10/2024

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Directions to “ ELIZABETH YERLY HILSEN PT” Practice Location

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