Provider Demographics
NPI:1497070809
Name:HERING, RHONDA ELIZABETH (PT)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:ELIZABETH
Last Name:HERING
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 1:22320 CLASSIC CT
Mailing Address - Street 2:
Mailing Address - City:LAKE BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-5903
Mailing Address - Country:US
Mailing Address - Phone:847-382-1568
Mailing Address - Fax:847-382-1585
Practice Address - Street 1:22320 CLASSIC CT
Practice Address - Street 2:
Practice Address - City:LAKE BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-5903
Practice Address - Country:US
Practice Address - Phone:847-382-1568
Practice Address - Fax:847-382-1585
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL.700043382251G0304X
IL070004338225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics