Provider Demographics
NPI:1922136217
Name:CHILEWICH, KENDRA RAND (PT, MPT, DPT)
Entity Type:Individual
Prefix:MISS
First Name:KENDRA
Middle Name:RAND
Last Name:CHILEWICH
Suffix:
Gender:F
Credentials:PT, MPT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:283 THACKERAY LN
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60093-3145
Mailing Address - Country:US
Mailing Address - Phone:312-953-8330
Mailing Address - Fax:847-739-7475
Practice Address - Street 1:283 THACKERAY LN
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-3145
Practice Address - Country:US
Practice Address - Phone:312-953-8330
Practice Address - Fax:847-739-7475
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-0128612251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics