Mix, Jennifer

Mix, Jennifer is an individual health care provider with primary practice located at 335 W Irving Park Rd , Wood Dale IL 60191-1357. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mix, Jennifer can be contacted via phone (630) 238-7940.

Contact Information

Primary practice address
335 W Irving Park Rd Wood Dale IL 60191-1357
Phone: (630) 238-7940
Fax: (630) 238-9053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-018356 Illinois

Profile Details

NPI number 1528367018
LBN Legal business name Mix, Jennifer
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2011
Last updated Dec 21st, 2021 - 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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