Provider Demographics
NPI:1346200201
Name:WEBB, CORINNE MARIE (PT MPT)
Entity Type:Individual
Prefix:MS
First Name:CORINNE
Middle Name:MARIE
Last Name:WEBB
Suffix:
Gender:F
Credentials:PT MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:630-575-1981
Mailing Address - Fax:630-928-5016
Practice Address - Street 1:1505 US HIGHWAY 41
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-1321
Practice Address - Country:US
Practice Address - Phone:219-322-5560
Practice Address - Fax:219-322-1549
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070012994225100000X
IN05012336A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL611456490OtherUNICARE
IL7203613OtherAETNEA
IL1633794OtherBLUE CROSS BLUE SHEILD OF