Provider Demographics
NPI:1164591012
Name:WORDEN, KAREN LYNN (MS,PT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:LYNN
Last Name:WORDEN
Suffix:
Gender:F
Credentials:MS,PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 DUNDEE RD
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-5334
Mailing Address - Country:US
Mailing Address - Phone:847-842-8679
Mailing Address - Fax:847-304-4325
Practice Address - Street 1:96 DUNDEE ROAD
Practice Address - Street 2:
Practice Address - City:BARRINGTON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60010-5334
Practice Address - Country:US
Practice Address - Phone:847-842-8679
Practice Address - Fax:847-304-4325
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
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