Individual
TRACI LOPINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT,CERT MDT
Contact information
Practice address
606 CAMBRIDGE LN, SHOREWOOD, IL 60404-0525
(708) 743-6619
(815) 744-2646
Mailing address
606 CAMBRIDGE LN, SHOREWOOD, IL 60404-0525
(708) 743-6619
(815) 744-2646
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070.012932
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F300263933
MEDICARE PTAN
IL
Enumeration date
02/12/2007
Last updated
02/29/2016
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