Lakeshore Physical Therapy, LLC
NPI #1629363064 in Libertyville, Illinois
Provider Information
- NPI Number
- 1629363064
- Entity Type
- Organization
- Organization Name
- Lakeshore Physical Therapy, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LAKE COUNTY NEUROSURGERY, LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jun 14, 2011
- Last Updated
- Jun 17, 2011
Practice Location
- Address
- 712 S MILWAUKEE AVE
- Address 2
- LOWER LEVEL
- City
- Libertyville
- State
- Illinois
- ZIP Code
- 60048-3279
- Phone
- (847) 362-1848
Authorized Official
- Name
- JONATHAN S CITOW, MD
- Title
- OWNER
- Phone
- (847) 362-1848
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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