Doctor Name: | DANIEL E HOUGLUM |
NPI Number: | 1548218167 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT ATC |
License Number: | 10070024 |
Business Practice Address: | 15 Commerce Dr Suite 106 Grayslake, IL - 600307807 |
Business Phone Number: | 8475487782 |
Business Fax Number: | 8475487784 |
Mailing Address: | 2998 Momentum Pl, CHICAGO |
State: | IL |
Postal Code: | 606895329 |
Phone Number: | 2626570222 |
Fax Number: | 2626577190 |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 12/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 10070024 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
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 |