Lee Davimes, P.T.
Individual provider Active NPI Physical Therapist · Evanston, IL
NPI 1043434871 · NPPES record last updated Dec 2, 2011
Key facts
- NPI
- 1043434871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070008788 (IL)
- Practice address
- 1629 Chicago Ave
Evanston, IL 60201-4504 - Phone
- (847) 475-1630
- Fax
- (847) 475-1631
- NPI assigned
- Apr 12, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070008788 | IL | MD | Physical Therapist |
| C0000158 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | C0000158 | IL | |
| Physical Therapist | 225100000X | 070008788 | IL | Yes |
Addresses
Primary practice location
1629 Chicago Ave
Evanston, IL 60201-4504
Mailing address
205 W Wacker Dr
Suite 1020
Chicago, IL 60606-1216
Phone (312) 640-0329
Other providers in Evanston, IL
- David Klow & Associates
- David Spindel M D & S C
- Jacqueline Deborah David
- Gretchen Genz Davidson
- Zahava S Davidson
- Davis Transportation LLC
- Alison Davis
- Bryanna Davis
- Gary Jack Davis
- Jalea Davis
All providers in Evanston, 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 Dec 2, 2011. 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.