=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538047691
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LAUREN REMMES
-----------------------------------------------------
Gender |
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2025
-----------------------------------------------------
Last Update Date | 08/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 275 N YORK ST STE 300
-----------------------------------------------------
City | ELMHURST
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60126-2784
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-279-4852
-----------------------------------------------------
Fax | 630-279-5283
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2433 SHASTA DR
-----------------------------------------------------
City | LISLE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60532-2066
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-376-5892
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 070.029344
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------