Provider Demographics
NPI:1932566890
Name:HUMAN TOUCH THERAPEUTICS, INC
Entity Type:Organization
Organization Name:HUMAN TOUCH THERAPEUTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:773-407-3663
Mailing Address - Street 1:1609 SHERMAN AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-3753
Mailing Address - Country:US
Mailing Address - Phone:773-407-3663
Mailing Address - Fax:773-634-8267
Practice Address - Street 1:1609 SHERMAN AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-3753
Practice Address - Country:US
Practice Address - Phone:773-407-3663
Practice Address - Fax:773-634-8267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-24
Last Update Date:2016-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.010272225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty