MEDICARE: LASHANNON ARNEISHA HINKLE

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	070.029749	IL

General Provider Information

NPI Number	:	1851246797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LASHANNON ARNEISHA HINKLE

Provider Business Mailing Address
First Line	:	2900 LINCOLN AVE APT 311
Second Line	:
City	:	NORTH RIVERSIDE
State	:	IL
Zip	:	60546-1692
Country	:	US
Telephone Number	:	708-785-0368
Fax Number	:

Provider Business Practice Location Address
First Line	:	2518 S HARLEM AVE
Second Line	:
City	:	NORTH RIVERSIDE
State	:	IL
Zip	:	60546-1692
Country	:	US
Telephone Number	:	708-442-5189
Fax Number	:

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

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “ LASHANNON ARNEISHA HINKLE ” Practice Location

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