Provider Demographics
NPI:1801484209
Name:PALONIS, HALINA (PT)
Entity type:Individual
Prefix:
First Name:HALINA
Middle Name:
Last Name:PALONIS
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 1:2300 WINDSOR MALL
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-3695
Mailing Address - Country:US
Mailing Address - Phone:847-384-9150
Mailing Address - Fax:
Practice Address - Street 1:2300 WINDSOR MALL
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-3695
Practice Address - Country:US
Practice Address - Phone:847-384-9150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-02
Last Update Date:2021-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.011224225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist