Individual provider · Type 1 NPI

Jeanne T. De Lisle, PT

Specialist · Park Ridge, IL

NPI number 1205076874 Active

Practice location

718 N Greenwood Ave
Park Ridge, IL 60068-2508

Call (847) 708-7680 Map

Fax (847) 720-4335

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X070.005465 (IL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1205076874

Jeanne T. De Lisle, PT's National Provider Identifier is 1205076874, issued on Feb 23, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Park Ridge, IL. The record was last updated on Aug 30, 2010.