Provider Demographics
NPI:1528234887
Name:DANILOVICH, MARGARET KATHERINE (PT, DPT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:KATHERINE
Last Name:DANILOVICH
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1228 EMERSON ST
Mailing Address - Street 2:UNIT 202
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-3591
Mailing Address - Country:US
Mailing Address - Phone:708-268-8697
Mailing Address - Fax:
Practice Address - Street 1:1228 EMERSON ST
Practice Address - Street 2:UNIT 202
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-3591
Practice Address - Country:US
Practice Address - Phone:708-268-8697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070016292225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist