MEDICARE: DR. LA VONNE LOUISE HILL D.N.

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
1	225400000X	Rehabilitation Practitioner	181-000187	IL

General Provider Information

NPI Number	:	1386783991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LA VONNE LOUISE HILL D.N.

Provider Business Mailing Address
First Line	:	1525 E 53RD ST STE 417
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-4530
Country	:	US
Telephone Number	:	773-493-0777
Fax Number	:	708-991-9003

Provider Business Practice Location Address
First Line	:	1525 E 53RD ST STE 417
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-4530
Country	:	US
Telephone Number	:	773-493-0777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	05/08/2024

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