Vandenbroucke, Tina
Vandenbroucke, Tina is an individual health care provider with primary practice located at 1975 Lin Lor Ln , Elgin IL 60123-4902. 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. Vandenbroucke, Tina can be contacted via phone (847) 468-6098.Contact Information
Primary practice address
1975 Lin Lor Ln
Elgin IL 60123-4902
Phone: (847) 468-6098
Fax: (847) 468-6095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070.005551 | Illinois |
Profile Details
| NPI number | 1780854950 |
|---|---|
| LBN Legal business name | Vandenbroucke, Tina |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2008 |
| Last updated | Oct 31st, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780854950 | NPPES |
| Illinois | Other | 070005551 | STATE OF ILLINOIS LICENSE |
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