MEDICARE: HEATHER FINNEGAN PT, DPT

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	225100000X	Physical Therapist	070020040	IL

General Provider Information

NPI Number	:	1639502180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER FINNEGAN PT, DPT

Provider Business Mailing Address
First Line	:	14315 108TH AVE STE 230
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60467-5701
Country	:	US
Telephone Number	:	708-675-2100
Fax Number	:	708-675-2002

Provider Business Practice Location Address
First Line	:	14315 108TH AVE STE 230
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60467-5701
Country	:	US
Telephone Number	:	708-675-2100
Fax Number	:	708-675-2002

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

Provider Enumeration Date	:	08/19/2013
Last Update Date	:	01/14/2020

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