Provider Demographics
NPI:1285179275
Name:SOMERS, HELEN M (PT)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:M
Last Name:SOMERS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:M
Other - Last Name:MURNANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:625 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-8813
Mailing Address - Country:US
Mailing Address - Phone:630-575-6250
Mailing Address - Fax:630-575-7450
Practice Address - Street 1:1980 2ND ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-3116
Practice Address - Country:US
Practice Address - Phone:847-681-8720
Practice Address - Fax:847-681-9020
Is Sole Proprietor?:No
Enumeration Date:2016-12-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070004920225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist