Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Shortal, PT

Individual provider Physical Therapist · NPI 1992183214

Amy Shortal, PT is a Physical Therapist in Bannockburn, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2015
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2525 Waukegan Rd Ste 255
Bannockburn, IL 60015-5514
Phone: (847) 405-7611
Fax: (847) 405-7622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.017563 (IL)

Record details

NPI number1992183214
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedMay 7, 2015
Last updated in NPPESMay 7, 2015
Mailing address2525 Waukegan Rd, Suite 255, Bannockburn, IL 60015-5514

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