Individual
CHRISTOPHER M LASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
14035 S BELL RD, HOMER GLEN, IL 60491-8463
(708) 645-0423
(708) 645-0428
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-3251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070013188
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00943111
MEDICARE RAILROAD
IL
Enumeration date
09/26/2006
Last updated
12/20/2013
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