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Susan Tilly, PT
Orthopedic Physical Therapist in Homer Glen, Illinois
NPI 1639253636

Susan Tilly is a Orthopedic Physical Therapist based in Homer Glen, IL and is specialized in Orthopedic. Susan Tilly practices in Homer Glen, IL and has the professional credentials of PT. The NPI Number for Susan Tilly is 1639253636 and holds a License No. 070-12455 (Illinois).

The current practice location address for Susan Tilly is 12261 W 159Th St, Homer Glen, IL and can be reached out via phone at 708-301-2255 and via fax at 708-301-2631.

Location: 12261 W 159Th St, Homer Glen, IL, 60491-7847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639253636
Provider Name
Susan Tilly
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
12261 W 159Th St, Homer Glen, IL, 60491-7847
Phone Number
708-301-2255
Fax Number
708-301-2631
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1623066 01 IL BCBS PROVIDER #
367885100 01 IL U.S. DEPT. OF LABOR PROV
CJ4383 01 IL R.R. MEDICARE GROUP #
institution
Provider Business Practice Location Address Details
Address
12261 W 159Th St
City
Homer Glen
State
Illinois
Zip
60491-7847
Phone Number
708-301-2255
Fax Number
708-301-2631
person
Provider Business Mailing Address Details
Address
12261 W 159Th St
City
Homer Glen
State
Illinois
Zip
60491-7847
Phone Number
708-301-2255
Fax Number
708-301-2631
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
070-12455 (Illinois)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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