| Doctor Name: | JAMES M MULVANEY |
| NPI Number: | 1053423020 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 0700009894 |
| Business Practice Address: | 1007 S 42nd St Suite 5 Mount Vernon, IL - 628646217 |
| Business Phone Number: | 6182441163 |
| Business Fax Number: | 6182441522 |
| Mailing Address: | 4227 Lincolnshire Drive, MOUNT VERNON |
| State: | IL |
| Postal Code: | 628642157 |
| Phone Number: | 6182422317 |
| Fax Number: | 6182429710 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 0700009894 |
| 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 |