Deiters, Herbert

Deiters, Herbert is an individual health care provider with primary practice located at 15750 Marian Dr , Homer Glen IL 60491-6200. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Deiters, Herbert can be contacted via phone (708) 645-3400.

Contact Information

Primary practice address
15750 Marian Dr Homer Glen IL 60491-6200
Phone: (708) 645-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070015746 Illinois

Profile Details

NPI number 1992916605
LBN Legal business name Deiters, Herbert
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Sep 14th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992916605 NPPES
Illinois Other 1619908 BCBS OF IL
Illinois Other 1623066 BCBS OF IL
Illinois Other 367885100 BCBS OF IL

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