Provider Demographics
NPI:1952533309
Name:ADATTO, PAMELA C (DPT)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:C
Last Name:ADATTO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:C
Other - Last Name:GIUROVICI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:1500 WAUKEGAN RD
Mailing Address - Street 2:STE 250
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-2100
Mailing Address - Country:US
Mailing Address - Phone:847-657-9445
Mailing Address - Fax:847-657-9450
Practice Address - Street 1:1500 WAUKEGAN RD
Practice Address - Street 2:STE 250
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-2100
Practice Address - Country:US
Practice Address - Phone:847-657-9445
Practice Address - Fax:847-657-9450
Is Sole Proprietor?:No
Enumeration Date:2009-08-19
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-017352225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist