Provider Demographics
NPI:1184635864
Name:MCATEE, JOAN M (PT)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:M
Last Name:MCATEE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26926 W HEMLOCK RD
Mailing Address - Street 2:
Mailing Address - City:CHANNAHON
Mailing Address - State:IL
Mailing Address - Zip Code:60410-3391
Mailing Address - Country:US
Mailing Address - Phone:630-267-5325
Mailing Address - Fax:815-467-0257
Practice Address - Street 1:26926 W HEMLOCK RD
Practice Address - Street 2:
Practice Address - City:CHANNAHON
Practice Address - State:IL
Practice Address - Zip Code:60410-3391
Practice Address - Country:US
Practice Address - Phone:630-267-5325
Practice Address - Fax:815-467-0257
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILJM6671098P222Q00000X
IL070-006218225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL070-006218Medicaid