Mccollom, Theresa Marie

Mccollom, Theresa Marie is an individual health care provider with primary practice located at 17800 Kedzie Ave , Hazel Crest IL 60429-2029. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Mccollom, Theresa Marie can be contacted via phone (708) 213-3829.

Contact Information

Primary practice address
17800 Kedzie Ave Hazel Crest IL 60429-2029
Phone: (708) 213-3829
Fax: (708) 422-1812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160005041 Illinois

Profile Details

NPI number 1366695405
LBN Legal business name Mccollom, Theresa Marie
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2008
Last updated Feb 26th, 2022 - about 3 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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