Provider Demographics
NPI:1972530434
Name:FERRARO, KATHERINE BECKER (PT)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:BECKER
Last Name:FERRARO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 W WACKER DR
Mailing Address - Street 2:SUITE 1020
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-1216
Mailing Address - Country:US
Mailing Address - Phone:312-640-0329
Mailing Address - Fax:
Practice Address - Street 1:530 W NORTH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MANHATTAN
Practice Address - State:IL
Practice Address - Zip Code:60442-8176
Practice Address - Country:US
Practice Address - Phone:815-478-7444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-010882225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist