MEDICARE: PHYSICAL FUNDAMENTALS, 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1699620054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICAL FUNDAMENTALS, PLLC

Provider Business Mailing Address
First Line	:	9004 S LEAVITT ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60643-6438
Country	:	US
Telephone Number	:	773-490-9829
Fax Number	:

Provider Business Practice Location Address
First Line	:	9004 S LEAVITT ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60643-6438
Country	:	US
Telephone Number	:	773-490-9829
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	LILY SHEN ELIZABETH
Credential	:
Telephone Number	:	773-490-9829

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

Similar Medicare Providers

1538192398 — DR. KORNELIA KROL MD
Practice Location Address:

6438 N CENTRAL AVE
CHICAGO, IL
60646-2935

Practice Phone: 773-775-7883
Practice Fax: 773-775-7885

1841225844 — WOMEN FOR WOMEN OB-GYN SC
Practice Location Address:

6438 N CENTRAL AVE
CHICAGO, IL
60646-2935

Practice Phone: 773-775-7883
Practice Fax: 773-775-7885

1922147024 — ALBERT PECHEREK MD
Practice Location Address:

6438 N MILWAUKEE AVE
CHICAGO, IL
60631

Practice Phone: 773-763-9305
Practice Fax: 773-763-9368

1144493255 — ALBERT PECHEREK SC.
Practice Location Address:

6438 N. MILWAUKEE AVE.
CHICAGO, IL
60631

Practice Phone: 773-763-9305
Practice Fax: 773-763-9368

1619478229 — ALEKSANDER W PECHEREK DO
Practice Location Address:

6438 N MILWAUKEE AVE
CHICAGO, IL
60631-2046

Practice Phone: 779-946-2225
Practice Fax: 773-763-9368

1154074482 — GREAT LAB SERVICES INC
Practice Location Address:

6438 N RICHMOND ST
CHICAGO, IL
60645-4363

Practice Phone: 770-906-6351
Practice Fax:

Directions to “PHYSICAL FUNDAMENTALS, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.