Jenifer Elizabeth Druien, PT
Individual provider Active NPI Physical Therapist · Byron, IL
NPI 1508076571 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508076571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070.009494 (IL)
- Practice address
- 811 W 2ND St
Byron, IL 61010-1464 - Phone
- (815) 234-5898
- NPI assigned
- May 22, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 070.009494 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.009494 | IL | Yes |
Addresses
Primary practice location
811 W 2ND St
Byron, IL 61010-1464
Mailing address
6756 N Summit Dr
Byron, IL 61010-9381
Phone (815) 742-5369
Other providers in Byron, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.