Doctor Name: | KRISTI A VANHAM |
NPI Number: | 1518104512 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 070-015988 |
Business Practice Address: | 510 Auburn Dr Suite B Island Lake, IL - 600429105 |
Business Phone Number: | 8474874609 |
Business Fax Number: | 8474874917 |
Mailing Address: | 625 Enterprise Dr, OAK BROOK |
State: | IL |
Postal Code: | 605238813 |
Phone Number: | 6305751980 |
Fax Number: | |
NPI Enumeration Date: | 01/13/2009 |
NPI Last Update Date: | 04/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070-015988 |
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 |