Provider Demographics
NPI:1215105846
Name:DORRESTEIN, JOS G (MHS, PT)
Entity type:Individual
Prefix:MR
First Name:JOS
Middle Name:G
Last Name:DORRESTEIN
Suffix:
Gender:M
Credentials:MHS, PT
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Mailing Address - Street 1:14111 S NAPERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-3329
Mailing Address - Country:US
Mailing Address - Phone:815-436-4828
Mailing Address - Fax:815-254-7057
Practice Address - Street 1:119 E OGDEN AVE STE 110
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-8654
Practice Address - Country:US
Practice Address - Phone:630-325-2664
Practice Address - Fax:866-245-8064
Is Sole Proprietor?:No
Enumeration Date:2008-02-17
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL070-00039232251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic