Lauren Bakula
Individual provider Active NPI Physical Therapist · Morton Grove, IL
NPI 1013356765 · NPPES record last updated Mar 17, 2016
Key facts
- NPI
- 1013356765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 9000 Waukegan Rd
Suite 100
Morton Grove, IL 60053-2127 - Phone
- (847) 779-6050
- Fax
- (847) 929-1167
- NPI assigned
- Jun 17, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
9000 Waukegan Rd
Suite 100
Morton Grove, IL 60053-2127
Mailing address
900 Rand Rd
Suite 300
Des Plaines, IL 60016-2359
Phone (847) 324-3976
Other providers in Morton Grove, IL
- Authentic Expression, LLC
- Awe Charity Foundation
- Irfan Babariya
- Christos D. Baboulas
- Kathy Bailey
- Simona Balan
- Laura Barnett
- Fallon Barry
- Taizoon Baxamusa
- Alexie Bedoya
All providers in Morton Grove, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.