Provider Demographics
NPI:1497048458
Name:HUFFMAN, EILEEN FRANCES (MS, PT, DPT, CLT)
Entity Type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:FRANCES
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:MS, PT, DPT, CLT
Other - Prefix:MS
Other - First Name:EILEEN
Other - Middle Name:FRANCES
Other - Last Name:RUNTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, PT, DPT, CLT
Mailing Address - Street 1:813 WESLEY AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60304-1319
Mailing Address - Country:US
Mailing Address - Phone:773-230-2672
Mailing Address - Fax:
Practice Address - Street 1:813 WESLEY AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60304-1319
Practice Address - Country:US
Practice Address - Phone:773-230-2672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070013488225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist