MEDICARE: LISA MCALPINE PT, DPT

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	208100000X	Physical Medicine & Rehabilitation Physician	070.023107	IL
2	225100000X	Physical Therapist	070.023107	IL

General Provider Information

NPI Number	:	1639644727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA MCALPINE PT, DPT

Provider Business Mailing Address
First Line	:	PO BOX 713260
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-1260
Country	:	US
Telephone Number	:	630-469-9200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 N ARLINGTON HEIGHTS RD
Second Line	:
City	:	ITASCA
State	:	IL
Zip	:	60143-3108
Country	:	US
Telephone Number	:	630-967-2000
Fax Number	:	630-946-2519

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

Provider Enumeration Date	:	10/04/2018
Last Update Date	:	11/30/2023

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Directions to “ LISA MCALPINE PT, DPT” Practice Location

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