Provider Demographics
NPI:1790826501
Name:KULINSKI, KATHY (MPT)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:KULINSKI
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17837 80TH AVE
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-5023
Mailing Address - Country:US
Mailing Address - Phone:708-342-2500
Mailing Address - Fax:708-342-1454
Practice Address - Street 1:15400 E 127TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:LEMONT
Practice Address - State:IL
Practice Address - Zip Code:60439-8408
Practice Address - Country:US
Practice Address - Phone:630-257-9787
Practice Address - Fax:630-257-9947
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070011751225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist