Linda A Yasukawa, PT
Individual provider Active NPI Physical Therapist · Fox River Grove, IL
NPI 1487724845 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487724845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 922 Route 22
Fox River Grove, IL 60021 - Phone
- (847) 462-0555
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 070003085 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Therapy Resource, LLC | Physical Therapist | Past |
Accepting new patients |
| Midwest Rehabilitation Group Inc | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Yes |
Addresses
Primary practice location
922 Route 22
Fox River Grove, IL 60021
Mailing address
685 Golf Lane
Lake Barrington, IL 60010
Other providers in Fox River Grove, IL
- Walgreen Co.
- Benjamin Waughtal
- Debbie Leesa Weiss
- Jacklyne Winckler
- Ashley Nicole Winikates
- Steven Yonan Jr.
- Dianna Michelle Zarndt Buettner
- Michael Zgoba
All providers in Fox River 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 Jul 8, 2007. 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.