Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 070.010586 | IL |
N | 2251G0304X | Physical Therapist - Geriatrics | 070.010586 | IL |
N | 2251N0400X | Physical Therapist - Neurology | 070.010586 | IL |
N | 2251X0800X | Physical Therapist - Orthopedic | 070.010586 | IL |
NPI | 1174863831 |
---|---|
Provider Name | Daniel Halkin |
First Address | Oak Forest, IL 60452-4006 |
Second Address | Oak Forest, IL 60452-4006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2013 |
Last Update Date | 18/02/2013 |