Provider Demographics
NPI:1720031537
Name:HOWE, DEBORAH J
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:J
Last Name:HOWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:J
Other - Last Name:STAUFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:197 W VALLETTE ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-4301
Mailing Address - Country:US
Mailing Address - Phone:630-279-8398
Mailing Address - Fax:630-279-8398
Practice Address - Street 1:197 W VALLETTE ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-4301
Practice Address - Country:US
Practice Address - Phone:630-279-8398
Practice Address - Fax:630-279-8398
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK27013Medicare ID - Type Unspecified