Doctor Name: | GENE KRUHLY |
NPI Number: | 1336525559 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | 070021545 |
Business Practice Address: | 8755 S Harlem Ave Bridgeview, IL - 604551905 |
Business Phone Number: | 7084302295 |
Business Fax Number: | |
Mailing Address: | 8755 S Harlem Ave, BRIDGEVIEW |
State: | IL |
Postal Code: | 604551905 |
Phone Number: | 7084302295 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2015 |
NPI Last Update Date: | 08/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 070021545 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |