Provider Demographics
NPI:1437126059
Name:ZORNOW, AMY D (PT)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:D
Last Name:ZORNOW
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 PRESTWICKE BLVD
Mailing Address - Street 2:
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-9784
Mailing Address - Country:US
Mailing Address - Phone:847-854-1108
Mailing Address - Fax:
Practice Address - Street 1:1447 MERCHANT DR
Practice Address - Street 2:
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-5917
Practice Address - Country:US
Practice Address - Phone:847-658-1117
Practice Address - Fax:847-658-1118
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0700066592251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK18302Medicare UPIN
ILK18302Medicare UPIN