Healthcare Provider Details

I. General information

NPI: 1982825535
Provider Name (Legal Business Name): RICHARD F LIGMAN PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 03/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 REMINGTON BLVD
BOLINGBROOK IL
60440-4909
US

IV. Provider business mailing address

1515 N TELEGRAPH RD
MONROE MI
48162-5139
US

V. Phone/Fax

Practice location:
  • Phone: 630-296-2223
  • Fax: 630-759-9510
Mailing address:
  • Phone: 734-242-4866
  • Fax: 734-242-3559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT.014053
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501017629
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: