Jennifer Bonny McQuillan, DPT
Individual provider Active NPI Physical Therapist · Hillside, IL
NPI 1932397072 · NPPES record last updated Oct 12, 2007
Key facts
- NPI
- 1932397072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 1815 S Wolf Rd
Hillside, IL 60162-2110 - Phone
- (708) 236-0979
- Fax
- (708) 236-5161
- NPI assigned
- Oct 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.015885 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ora Orthopedics, PC | Past | Accepting new patients | |
| Bravehearts at the Bergmann Center | Physical Therapist | Past | Accepting new patients |
| Aspire of Illinois | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Yes |
Addresses
Primary practice location
1815 S Wolf Rd
Hillside, IL 60162-2110
Mailing address
1815 S Wolf Rd
Hillside, IL 60162-2110
Phone (708) 236-0979
Other providers in Hillside, IL
- Mansoor Sikander
- Kory Marken
- Nicole Martinez
- Christian Jeff Bagnas Matias
- Sarah Mazur
- Medstar Laboratory, Inc
- Medwest Associates
- MH Health Care Services, PC
- Annie Mo
- Felix Rodrigo Monroy
All providers in Hillside, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 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.