| NPI | 1629347992 |
|---|---|
| Doing Business As | LAKESHORE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | SALLY R FANSLER Managing Partner 773-770-2419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: IL 070005021) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2023-04-21 |