MEDICARE: RIKA LIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1154430338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RIKA LIN

Provider Business Mailing Address
First Line	:	1926 PRAIRIE SQ
Second Line	:	APT 129
City	:	SCHAUMBURG
State	:	IL
Zip	:	60173-4142
Country	:	US
Telephone Number	:	847-925-8160
Fax Number	:

Provider Business Practice Location Address
First Line	:	5524 N BROADWAY ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-1406
Country	:	US
Telephone Number	:	773-561-7342
Fax Number	:	773-275-3007

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	09/07/2007

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Directions to “ RIKA LIN ” Practice Location

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