Provider Demographics
NPI:1811096209
Name:STEIMEL, PAULA JUNE (PT)
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:JUNE
Last Name:STEIMEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3115 WOLF CT
Mailing Address - Street 2:
Mailing Address - City:DEKALB
Mailing Address - State:IL
Mailing Address - Zip Code:60115-8257
Mailing Address - Country:US
Mailing Address - Phone:815-501-5217
Mailing Address - Fax:
Practice Address - Street 1:201 LEXINGTON ST
Practice Address - Street 2:
Practice Address - City:DEKALB
Practice Address - State:IL
Practice Address - Zip Code:60115-9508
Practice Address - Country:US
Practice Address - Phone:815-758-3645
Practice Address - Fax:815-758-3645
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070010520225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist