Provider Demographics
NPI:1770624413
Name:HON, BRITTA M (DPT)
Entity type:Individual
Prefix:
First Name:BRITTA
Middle Name:M
Last Name:HON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:BRITTA
Other - Middle Name:M
Other - Last Name:MERKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1095 PINGREE RD STE 209
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-1727
Mailing Address - Country:US
Mailing Address - Phone:847-458-8890
Mailing Address - Fax:847-458-8889
Practice Address - Street 1:1095 PINGREE RD STE 209
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-1727
Practice Address - Country:US
Practice Address - Phone:847-458-8890
Practice Address - Fax:847-458-8889
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4673225100000X
IL070014701225100000X
MD27360225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL710957905OtherFEIN