Michael Thomas Shoemake
NPI #1154484368 in Libertyville, Illinois
Provider Information
- NPI Number
- 1154484368
- Entity Type
- Organization
- Organization Name
- Michael Thomas Shoemake
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Dec 7, 2007
Practice Location
- Address
- 1017 W PARK AVE
- Address 2
- SUITE B
- City
- Libertyville
- State
- Illinois
- ZIP Code
- 60048-2502
- Phone
- (847) 997-0650
Authorized Official
- Name
- MR. MICHAEL THOMAS SHOEMAKE, PT
- Title
- PRESIDENT
- Phone
- (847) 996-0650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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