Healthcare Provider Details

I. General information

NPI: 1679807200
Provider Name (Legal Business Name): MOVEMENT SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2009
Last Update Date: 08/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 LINDEN AVE
WILMETTE IL
60091-2843
US

IV. Provider business mailing address

2441 PROSPECT AVE
EVANSTON IL
60201-1839
US

V. Phone/Fax

Practice location:
  • Phone: 847-372-3816
  • Fax:
Mailing address:
  • Phone: 847-372-3816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2251E1200X
TaxonomyErgonomics Physical Therapist
License Number
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number StateIL
# 6
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateIL

VIII. Authorized Official

Name: LANCE LABNO
Title or Position: MEMBER, PRESIDENT
Credential: P.T, D.P.T
Phone: 847-372-3816