Provider Demographics
NPI:1346616653
Name:DENLINGER, KATHERINE (DPT, PT, PCS)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:DENLINGER
Suffix:
Gender:F
Credentials:DPT, PT, PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 W WARREN BLVD APT 215
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-2618
Mailing Address - Country:US
Mailing Address - Phone:312-914-6534
Mailing Address - Fax:
Practice Address - Street 1:225 E CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2991
Practice Address - Country:US
Practice Address - Phone:312-227-6224
Practice Address - Fax:312-227-9425
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-20
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070021748225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist