Doctor Name: | BRAD E POWELL |
NPI Number: | 1023483864 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 070021942 |
Business Practice Address: | 1500 Waukegan Rd Suite 250 Glenview, IL - 600252100 |
Business Phone Number: | 8476579445 |
Business Fax Number: | 8476579450 |
Mailing Address: | 1500 Waukegan Rd, Suite 250 GLENVIEW |
State: | IL |
Postal Code: | 600252100 |
Phone Number: | 8476579445 |
Fax Number: | 8476579450 |
NPI Enumeration Date: | 12/04/2015 |
NPI Last Update Date: | 12/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070021942 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |