Provider Demographics
NPI:1770021891
Name:HEALING HEALTH HOLINESS: A WHOLISTIC APPROACH TO PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:HEALING HEALTH HOLINESS: A WHOLISTIC APPROACH TO PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MISKIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:773-767-3822
Mailing Address - Street 1:148 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-4512
Mailing Address - Country:US
Mailing Address - Phone:501-912-8065
Mailing Address - Fax:773-337-9106
Practice Address - Street 1:148 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-4512
Practice Address - Country:US
Practice Address - Phone:501-912-8065
Practice Address - Fax:773-337-9106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070005164225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty