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Organization
THRIVE PHYSICAL THERAPY PARTNERS OF IL, PLLC
Active
Organization
THRIVE PHYSICAL THERAPY PARTNERS OF IL, PLLC
Active
Other names
Physio Partners P.C., Lakeshore Sports Physical Therapy PC
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN RAY NOVINGER (OWNER)
(312) 576-2449
Entity
Organization
Contact information
Practice address
2869 N LINCOLN AVE, CHICAGO, IL 60657-4201
(773) 665-9950
(773) 665-9947
Mailing address
2869 N LINCOLN AVE, CHICAGO, IL 60657-4201
(773) 665-9950
(773) 665-9947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
060008615
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060-008615
STATE REGISTRATION NUMBER
IL
Enumeration date
01/11/2006
Last updated
02/11/2026
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