Healthcare Provider Details

I. General information

NPI: 1164330478
Provider Name (Legal Business Name): BENJAMIN DEAN LINDFLOTT PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 N BOLINGBROOK DR
BOLINGBROOK IL
60440-1968
US

IV. Provider business mailing address

2501 WHITE OAK LN
LISLE IL
60532-3263
US

V. Phone/Fax

Practice location:
  • Phone: 630-856-6476
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: