Provider Demographics
NPI:1013566652
Name:SLOAN, CLAIRE ELIZABETH (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:ELIZABETH
Last Name:SLOAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 W DIVERSEY PKWY
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-1317
Mailing Address - Country:US
Mailing Address - Phone:773-248-2578
Mailing Address - Fax:
Practice Address - Street 1:1030 N CLARK ST STE 610
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-3066
Practice Address - Country:US
Practice Address - Phone:773-248-2578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-06
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.024675225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist