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NPI Code Detail

MEDICARE: LAIMA NAKVOSIENE DPT

MEDICARE: LAIMA NAKVOSIENE DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251G0304XGeriatric Physical Therapist070019979IL

General Provider Information

NPI Number : 1578220281
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAIMA NAKVOSIENE DPT
Provider Business Mailing Address
First Line : 16W308 95TH PL
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-6808
Country : US
Telephone Number : 773-816-2009
Fax Number :
Provider Business Practice Location Address
First Line : 12220 WILL COOK RD
Second Line :
City : PALOS PARK
State : IL
Zip : 60464-7332
Country : US
Telephone Number : 630-257-2291
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2021
Last Update Date : 11/18/2021

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Directions to “ LAIMA NAKVOSIENE DPT” Practice Location

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