Provider Demographics
NPI:1649512153
Name:IRIZARI, JOY HONTANOSAS (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MS
First Name:JOY
Middle Name:HONTANOSAS
Last Name:IRIZARI
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3140 N CHRISTIANA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-6819
Mailing Address - Country:US
Mailing Address - Phone:281-886-2974
Mailing Address - Fax:
Practice Address - Street 1:4753 N ELSTON AVE
Practice Address - Street 2:SWEDISH COVENANT HOSPITAL
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-4002
Practice Address - Country:US
Practice Address - Phone:773-878-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-22
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070019506225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist