Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | ||
N | 225100000X | Physical Therapist | 070.004687 | IL |
N | 2251P0200X | Physical Therapist - Pediatrics | ||
N | 2251P0200X | Physical Therapist - Pediatrics | 070.004687 | IL |
N | 2251X0800X | Physical Therapist - Orthopedic | ||
N | 225200000X | Physical Therapy Assistant | ||
N | 225X00000X | Occupational Therapist | ||
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | ||
Y | 225XP0200X | Occupational Therapist - Pediatrics |
NPI | 1194029843 |
---|---|
Provider Name | Brenda J Hillmann |
First Address | Shorewood, IL 60404-8512 |
Second Address | Sycamore, IL 60178-2753 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2011 |
Last Update Date | 09/03/2021 |