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Organization

LAVENDER PHYSICAL THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIVIAN KIM CHAU DPT (MEMBER)
(224) 616-1627
Entity
Organization

Contact information

Practice address
775 DEVONSHIRE DR, DES PLAINES, IL 60018-5569
(224) 616-1627
Mailing address
775 DEVONSHIRE DR, DES PLAINES, IL 60018-5569

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
11/16/2020
Last updated
12/07/2020
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