Lockport Pain Management, Ltd

NPI #1114385986 in Lockport, Illinois

Provider Information

NPI Number: 1114385986
Entity Type: Organization
Organization Name: Lockport Pain Management, Ltd
Primary Specialty: Physical Therapist
Enumeration Date: Feb 8, 2016
Last Updated: Feb 8, 2016

Practice Location

Address: 400 SUMMIT DR
City: Lockport
State: Illinois
ZIP Code: 60441-3241
Phone: (815) 838-9441

Authorized Official

Name: TIMOTHY RADCLIFFE, D.C.
Title: OWNER
Phone: (815) 838-9441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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