Provider Demographics
NPI:1851379598
Name:WHITMAN, STEVEN HIRSCH (PT)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:HIRSCH
Last Name:WHITMAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:473 W ARMY TRAIL RD
Mailing Address - Street 2:103
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-2674
Mailing Address - Country:US
Mailing Address - Phone:630-295-9900
Mailing Address - Fax:630-295-9909
Practice Address - Street 1:3900 W 95TH ST
Practice Address - Street 2:SUITE 7
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-1922
Practice Address - Country:US
Practice Address - Phone:708-423-7799
Practice Address - Fax:708-423-7923
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-04
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
ILK25072Medicare ID - Type UnspecifiedDUPAGE