Lakefront Pt LLC

NPI #1073169777 in Chicago, Illinois

Provider Information

NPI Number: 1073169777
Entity Type: Organization
Organization Name: Lakefront Pt LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 18, 2019
Last Updated: Apr 30, 2020

Practice Location

Address: 71 S WACKER DR # 200A
City: Chicago
State: Illinois
ZIP Code: 60606-4637
Phone: (765) 744-6354

Authorized Official

Name: MR. BILL R HITCHCOCK, PT
Title: MEMBER
Phone: (765) 744-6354

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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