Healthcare Provider Details

I. General information

NPI: 1548887276
Provider Name (Legal Business Name): ALINA LEHOCKY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2020
Last Update Date: 03/15/2021
Certification Date: 03/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1186 W MAPLE AVE
MUNDELEIN IL
60060-1438
US

IV. Provider business mailing address

1704 N WOODS WAY
VERNON HILLS IL
60061-1236
US

V. Phone/Fax

Practice location:
  • Phone: 847-970-7099
  • Fax: 847-970-7719
Mailing address:
  • Phone: 847-815-2924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: