Doctor Name: | STEPHEN DENTON |
NPI Number: | 1942584842 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 070-018800 |
Business Practice Address: | 2211 Waukegan Rd Bannockburn, IL - 600151570 |
Business Phone Number: | 8472678600 |
Business Fax Number: | 8472679520 |
Mailing Address: | 909 Davis St, Ste 220 EVANSTON |
State: | IL |
Postal Code: | 602013683 |
Phone Number: | 8477337906 |
Fax Number: | 8477338405 |
NPI Enumeration Date: | 10/11/2011 |
NPI Last Update Date: | 11/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070-018800 |
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 |