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NPI Code Detail

MEDICARE: WILLIAM JAMES LINDSTROM DPT

MEDICARE:   WILLIAM JAMES LINDSTROM  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
1225100000XPhysical Therapist070.026672IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1070.026672OTHERILLILINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

General Provider Information

NPI Number : 1962135681
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM JAMES LINDSTROM DPT
Provider Business Mailing Address
First Line : 1135 S DELANO CT E
Second Line :
City : CHICAGO
State : IL
Zip : 60605-3457
Country : US
Telephone Number : 630-933-1500
Fax Number : 630-933-1550
Provider Business Practice Location Address
First Line : 1135 S DELANO CT E
Second Line :
City : CHICAGO
State : IL
Zip : 60605-3457
Country : US
Telephone Number : 630-933-1500
Fax Number : 630-933-1550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2022
Last Update Date : 07/23/2025

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Directions to “ WILLIAM JAMES LINDSTROM DPT” Practice Location

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