| Mrs Diane Latta, PT | |
|
355 Ridge Avenue, Evanston, IL 60202-9985 | |
| (847) 316-4000 | |
| (847) 316-2758 |
| Full Name | Mrs Diane Latta |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 355 Ridge Avenue, Evanston, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609120526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.003560 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Diane Latta, PT 355 Ridge Avenue, Evanston, IL 60202-9985 Ph: (847) 316-4000 | Mrs Diane Latta, PT 355 Ridge Avenue, Evanston, IL 60202-9985 Ph: (847) 316-4000 |
Ryan Perry, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1115 Emerson St, Evanston, IL 60201 Phone: 847-570-9861 | |
Ms. Teresa Maciejczyk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1729 Benson Ave, Evanston, IL 60201 Phone: 847-570-7170 Fax: 847-570-7172 | |
Lee Davimes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1629 Chicago Ave, Evanston, IL 60201 Phone: 847-475-1630 Fax: 847-475-1631 | |
Aimee Jane Aledia Pena, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Asbury Ave, Evanston, IL 60202 Phone: 847-316-3320 | |
Aime Maranan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 839 Dodge Ave, Evanston, IL 60202 Phone: 847-859-6384 | |
Patricia Simmons Anderson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1024 Cleveland St, Evanston, IL 60202 Phone: 847-328-2405 Fax: 847-864-7806 | |
Kellie Audra Banfield, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 805 Davis St, Evanston, IL 60201 Phone: 847-864-1535 Fax: 847-864-1537 |