Provider Demographics
NPI:1497065924
Name:HARRIS, HELEN HOGAN (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:HOGAN
Last Name:HARRIS
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 ROOSEVELT RD.
Mailing Address - Street 2:HEALTH TRACK FITNESS CENTER
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137
Mailing Address - Country:US
Mailing Address - Phone:630-469-7858
Mailing Address - Fax:
Practice Address - Street 1:875 ROOSEVELT RD.
Practice Address - Street 2:HEALTH TRACK FITNESS CENTER
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137
Practice Address - Country:US
Practice Address - Phone:630-469-7858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.010568225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist