Lynn M. Maloney, DPT

Individual provider Active NPI Physical Therapist · Fox Lake, IL

NPI 1770916447 · NPPES record last updated Apr 21, 2016

Key facts

NPI
1770916447
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
070020034 (IL)
Practice address
1294 S Route 12
Fox Lake, IL 60020-1950
Phone
(847) 973-9440
Fax
(847) 973-9442
NPI assigned
Aug 16, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
St. Louis College of Physicians and Surgeons, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTD (2,187 clinicians)

Practice addresses (Care Compare)

407 N Lagrange Rd
Lagrange Park, IL 60526-5623
Phone (708) 482-9320

510 Auburn Dr
Suite B
Island Lake, IL 60042-9105
Phone (847) 487-4609

722 N McLean Blvd
South Elgin, IL 60177-1429
Phone (847) 695-5088

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100 (group)
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20131120001516 IL Practitioner - Physical Therapist in Private Practice 6709012842 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
070020034ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist Current
since Aug 5, 2019
Accepting new patients
Athletico LTD Physical Therapist Current
since Aug 5, 2019
Accepting new patients

Locations

6502 Joliet Rd
Ste B
Countryside, IL 60525
Phone (708) 352-0547

1294 S US Highway 12
Fox Lake, IL 60020
Phone (847) 973-9440

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

300 S State St
Marengo, IL 60152
Phone (815) 568-4550

625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070020034 IL Yes

Addresses

Primary practice location

1294 S Route 12
Fox Lake, IL 60020-1950

Mailing address

625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-1980

Other names

  • Lynn M. Syslo Former name

Other providers in Fox Lake, IL

All providers in Fox Lake, IL · Physical Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.