Provider Demographics
NPI:1366455313
Name:GURA, RITA CHRISTINA (DPT)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:CHRISTINA
Last Name:GURA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:CHRISTINA
Other - Last Name:GURAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:205 W WACKER DR
Mailing Address - Street 2:SUITE 1020
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-1216
Mailing Address - Country:US
Mailing Address - Phone:312-640-0329
Mailing Address - Fax:
Practice Address - Street 1:8337 W LAWRENCE AVE
Practice Address - Street 2:
Practice Address - City:NORRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60706-3129
Practice Address - Country:US
Practice Address - Phone:708-583-9500
Practice Address - Fax:708-583-9501
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL70014916225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist