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

Diane Marola Bullock

Individual provider Physical Therapy Assistant · NPI 1669643714

Diane Marola Bullock is a Physical Therapy Assistant in Elmhurst, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
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Practice location Address checks out

1200 S York St
Elmhurst, IL 60126-5626
Phone: (630) 646-1141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160003333 (IL)

Record details

NPI number1669643714
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 17, 2008
Last updated in NPPESJune 8, 2025
Certification dateJune 8, 2025

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