Organization
APPLIED PREVENTOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA LEMBERT (CEO)
(773) 775-1443
Entity
Organization
Contact information
Practice address
7706 W TOUHY AVE, CHICAGO, IL 60631-4200
(773) 775-1443
Mailing address
7706 W TOUHY AVE, CHICAGO, IL 60631-4200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.011867
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1628105
BCBS OF ILLINOIS
IL
01
—
367178181
HUMANA
IL
05
—
367178181
—
IL
Enumeration date
07/23/2007
Last updated
05/29/2013
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