Provider Demographics
NPI:1740656974
Name:BILLINGY, BEVILI (PT)
Entity type:Individual
Prefix:
First Name:BEVILI
Middle Name:
Last Name:BILLINGY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BEVILI
Other - Middle Name:
Other - Last Name:LYTTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2701 SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:ZION
Mailing Address - State:IL
Mailing Address - Zip Code:60099-2616
Mailing Address - Country:US
Mailing Address - Phone:224-304-5699
Mailing Address - Fax:847-731-6898
Practice Address - Street 1:790 REMINGTON BLVD
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-4909
Practice Address - Country:US
Practice Address - Phone:630-296-2223
Practice Address - Fax:630-795-9510
Is Sole Proprietor?:No
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-009652225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist