Provider Demographics
NPI:1356474670
Name:BELL, WILLIAM R (PT, DPT)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:R
Last Name:BELL
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11106 O GORMAN DR
Mailing Address - Street 2:
Mailing Address - City:PALOS HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60465-2109
Mailing Address - Country:US
Mailing Address - Phone:708-974-0670
Mailing Address - Fax:708-974-0670
Practice Address - Street 1:11106 O GORMAN DR
Practice Address - Street 2:
Practice Address - City:PALOS HILLS
Practice Address - State:IL
Practice Address - Zip Code:60465-2109
Practice Address - Country:US
Practice Address - Phone:708-974-0670
Practice Address - Fax:708-974-0670
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist