Marie Lourdes Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MARIE LOURDES PHYSICAL THERAPY, LLC

Practice address

3355 N Harlem Ave
Chicago, IL 60634-3602

Phone

(773) 895-7599

Fax

(773) 930-3131

NPI assigned

Jul 25, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lourdes L Ipapo, PT

Title

Coo

Phone

(773) 895-7599

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1104268648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343602",
            "telephone_number": "773-895-7599",
            "fax_number": "773-930-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343602",
            "telephone_number": "773-895-7599",
            "fax_number": "773-930-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE LOURDES PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "IPAPO",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "773-895-7599",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Mariano
• Teresa Mariano, LCPC
• Sebastian Mariategui, DO
• Latrice Annette Maric, PH.D., LCPC
• Nevenka Maric, MD
• Marie Shebeck Counseling Services, PLLC
• Marie T Stein Therapy and Consulting, PLLC
• Vickie Marie, MA, RD, LDN
• Mariel Gardiner Psychotherapy, PLLC
• Alia Ruby Mariella, MS CCC-SLP

• Physical Therapy Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.