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Organization
LAKEFRONT PT LLC
Active
Organization
LAKEFRONT PT LLC
Active
Other names
Lakefront PT LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL R HITCHCOCK PT (MEMBER)
(765) 744-6354
Entity
Organization
Contact information
Practice address
71 S WACKER DR # 200A, CHICAGO, IL 60606-4637
(765) 744-6354
Mailing address
201 N WESTSHORE DR APT 1602, CHICAGO, IL 60601-7262
(765) 744-6354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/18/2019
Last updated
04/30/2020
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