MEDICARE: DANIELLE E. YENTER 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
1	2251N0400X	Neurology Physical Therapist

General Provider Information

NPI Number	:	1528899895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE E. YENTER PT

Provider Business Mailing Address
First Line	:	4941 ROSE AVE
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-3202
Country	:	US
Telephone Number	:	312-909-9525
Fax Number	:

Provider Business Practice Location Address
First Line	:	5021 CHASE AVE
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-4014
Country	:	US
Telephone Number	:	630-929-5377
Fax Number	:

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

Provider Enumeration Date	:	08/09/2024
Last Update Date	:	09/26/2024

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