Healthcare Provider Details

I. General information

NPI: 1831916253
Provider Name (Legal Business Name): LILY H SHIBER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2024
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 W BELMONT AVE STE 350
CHICAGO IL
60657-5785
US

IV. Provider business mailing address

1333 W BELMONT AVE STE 350
CHICAGO IL
60657-5785
US

V. Phone/Fax

Practice location:
  • Phone: 630-933-1500
  • Fax: 312-926-1377
Mailing address:
  • Phone: 630-933-1500
  • Fax: 312-926-1377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number306947
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070028656
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: