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Contact Information

JONELLA R BLACK, PT
1000 CENTRAL ST
SUITE 101
EVANSTON, IL60201-1777
 Phone: 847-570-1260
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2251N0400X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JONELLA R BLACK · (Female)

NPI # 1215252036
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 04/05/2010
Last updated 04/05/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 070005649
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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