MEDICARE: CERTIFIED LYMPHATICS PLLC

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1164384681
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CERTIFIED LYMPHATICS PLLC

Provider Business Mailing Address
First Line	:	672 TERRY RD
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-3329
Country	:	US
Telephone Number	:	630-965-6721
Fax Number	:

Provider Business Practice Location Address
First Line	:	672 TERRY RD
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-3329
Country	:	US
Telephone Number	:	630-965-6721
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST/CERTIFIED LYMPH
Name	:	JANET BENEDICT
Credential	:	PT, DPT, CLT-LANA
Telephone Number	:	630-965-6721

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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