Provider Demographics
NPI:1205187184
Name:ORLINA, BERNICE LIONGSON (PT)
Entity Type:Individual
Prefix:MS
First Name:BERNICE
Middle Name:LIONGSON
Last Name:ORLINA
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 1:4200 MANNHEIM RD
Mailing Address - Street 2:
Mailing Address - City:SCHILLER PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60176-1872
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:230 E IRVING PARK RD
Practice Address - Street 2:ELMHURST MEMORIAL HEALTHCARE
Practice Address - City:WOOD DALE
Practice Address - State:IL
Practice Address - Zip Code:60191-2039
Practice Address - Country:US
Practice Address - Phone:630-285-2010
Practice Address - Fax:630-285-2011
Is Sole Proprietor?:No
Enumeration Date:2012-10-02
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.008338225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist