Black, Jonella Renee

Black, Jonella Renee is an individual health care provider with primary practice located at 1000 Central St Suite 101, Evanston IL 60201-1777. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, which is considered as her primary health care specialty. Black, Jonella Renee can be contacted via phone (847) 570-1260.

Contact Information

Primary practice address
1000 Central St Suite 101 Evanston IL 60201-1777
Phone: (847) 570-1260
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology 2251N0400X 070005649 Illinois

Profile Details

NPI number 1215252036
LBN Legal business name Black, Jonella Renee
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2010
Last updated Apr 5th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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