Provider Demographics
NPI:1003936394
Name:HARTUNG, MAGDALENA (PHYSICAL THERAPY)
Entity Type:Individual
Prefix:
First Name:MAGDALENA
Middle Name:
Last Name:HARTUNG
Suffix:
Gender:F
Credentials:PHYSICAL THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4441 BURGUNDY PL
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-1047
Mailing Address - Country:US
Mailing Address - Phone:630-717-1172
Mailing Address - Fax:
Practice Address - Street 1:2835 AURORA AVE STE 113
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-9105
Practice Address - Country:US
Practice Address - Phone:630-355-8988
Practice Address - Fax:630-355-8953
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist