Spanburg, Renee Michelle

Spanburg, Renee Michelle is an individual health care provider with primary practice located at 215 N Convent St Suite 6, Bourbonnais IL 60914-5600. 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. Spanburg, Renee Michelle can be contacted via phone (815) 928-8357.

Contact Information

Primary practice address
215 N Convent St Suite 6 Bourbonnais IL 60914-5600
Phone: (815) 928-8357
Fax: (815) 929-0492
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070011168 Indiana

Profile Details

NPI number 1275673295
LBN Legal business name Spanburg, Renee Michelle
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Nov 25th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275673295 NPPES
Illinois Other 568080 MEDICARE GROUP NUMBER
Illinois Other 145210E MEDICARE GROUP NUMBER
Illinois Other 1619908 MEDICARE GROUP NUMBER
Illinois Other 568150 MEDICARE GROUP NUMBER
Illinois Other 567700 MEDICARE GROUP NUMBER

Popular Providers