Basic Information
| Provider Information | |||||||||
| NPI: | 1093271637 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | CALL | ||||||||
| FirstName: | TWYLA | ||||||||
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| Credential: | COTA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 616 WINTERBERRY CT | ||||||||
| Address2: | |||||||||
| City: | JOLIET | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604318338 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5743497005 | ||||||||
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| Practice Location | |||||||||
| Address1: | 210 SPRINGFIELD AVE | ||||||||
| Address2: | |||||||||
| City: | JOLIET | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604356589 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8157253400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/19/2019 | ||||||||
| LastUpdateDate: | 02/19/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | 057.005006 | IL | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
No ID Information.