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Mrs. Jonella Renee Black, PT
Neurology Physical Therapist in Evanston, Illinois
NPI 1215252036

Jonella Renee Black is a Neurology Physical Therapist based in Evanston, IL and is specialized in Neurology. Jonella Renee Black practices in Evanston, IL and has the professional credentials of PT. The NPI Number for Jonella Renee Black is 1215252036 and holds a License No. 070005649 (Illinois).

The current practice location address for Jonella Renee Black is 1000 Central St, Evanston, IL and can be reached out via phone at 847-570-1260. You can also correspond with Jonella Renee Black through the mailing address at 1503 MADISON STREET, EVANSTON, IL - 60202 (mailing address contact number: 847-864-5740).

Location: 1000 Central St, Evanston, IL, 60202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215252036
Provider Name
Jonella Renee Black
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
1000 Central St, Evanston, IL, 60202
Phone Number
847-570-1260
Fax Number
Provider Enumeration Date
04/05/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1000 Central St
City
Evanston
State
Illinois
Zip
60201-1777
Phone Number
847-570-1260
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Central St
City
Evanston
State
Illinois
Zip
60201-1777
Phone Number
847-570-1260
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Neurology
Taxonomy
2251N0400X
License No.
070005649 (Illinois)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
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