MEDICARE: LHM PHYSICAL THERAPY, INC.

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	070.006490	IL

General Provider Information

NPI Number	:	1700124468
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LHM PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	828 S WASHINGTON ST
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-4841
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5430 S KEDZIE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60632-2620
Country	:	US
Telephone Number	:	630-826-5900
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LINDA MORRIS
Credential	:	MPT
Telephone Number	:	630-826-5900

Provider Enumeration Date	:	01/30/2013
Last Update Date	:	01/30/2013

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