# FLEXEON REHABILITATION OF LOCKPORT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609100254
- **Authorized official:** MR. JAMES JUDGE PT (OWNER)
- **Authorized official phone:** (708) 610-8951

## Contact information

- **Practice address:** 17130 PRIME BLVD, STE B, LOCKPORT, IL 60441-1311
- **Practice address phone:** (815) 512-7070
- **Practice address fax:** (815) 512-7030
- **Mailing address:** 17130 PRIME BLVD, STE B, LOCKPORT, IL 60441-1311
- **Mailing address phone:** (815) 512-7070
- **Mailing address fax:** (815) 512-7030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/30/2009
- **Last updated:** 09/07/2010
