Provider Demographics
NPI:1780964239
Name:DENNISON, NANCI ELIZABETH (PT)
Entity type:Individual
Prefix:MS
First Name:NANCI
Middle Name:ELIZABETH
Last Name:DENNISON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 HERCULES LN
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-7909
Mailing Address - Country:US
Mailing Address - Phone:630-988-1406
Mailing Address - Fax:
Practice Address - Street 1:1221 HERCULES LN
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-7909
Practice Address - Country:US
Practice Address - Phone:630-355-8633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-27
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0070.0066152251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics