Margaret Burnham

Individual provider Active NPI Physical Therapy Assistant · Morton Grove, IL

NPI 1023858784 · NPPES record last updated May 30, 2024

Key facts

NPI
1023858784
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
160-005118 (IL)
Practice address
9000 Waukegan Rd Ste 100
Morton Grove, IL 60053-2128
Phone
(847) 779-6050
Fax
(847) 929-1167
NPI assigned
May 30, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
160-005118ILMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160-005118 IL Yes

Addresses

Primary practice location

9000 Waukegan Rd Ste 100
Morton Grove, IL 60053-2128

Mailing address

900 Rand Rd Ste 300
Des Plaines, IL 60016-2359
Phone (847) 324-3976

Other providers in Morton Grove, IL

All providers in Morton Grove, IL · Physical Therapy Assistant in Illinois

Sources for this page

Verify at the official NPI Registry.