Organization
LIVING BEYOND THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YUNDEE YNGSON PT (OPERATIONS OFFICER)
(708) 898-4777
Entity
Organization
Contact information
Practice address
19806 KILKENNY AVE, TINLEY PARK, IL 60487-4415
(708) 898-4777
(708) 880-4202
Mailing address
1921 RIDGE RD, PO BOX 980, HOMEWOOD, IL 60430-4614
(708) 898-4777
(708) 880-4202
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146007427
IL
261QP2000X
Physical Therapy Clinic/Center
070015213
IL
261QP2000X
Physical Therapy Clinic/Center
Primary
070016737
IL
261QX0100X
Occupational Medicine Clinic/Center
056002536
IL
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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