Anita Bukszar, PT, DPT, ATC
Individual provider Active NPI Pediatric Physical Therapist · Lake Bluff, IL
NPI 1912671561 · NPPES record last updated Aug 6, 2021
Key facts
- NPI
- 1912671561
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 070025425 (IL)
- Practice address
- 917 Sherwood Dr Ste 201
Lake Bluff, IL 60044-2235 - Phone
- (877) 486-4140
- NPI assigned
- Aug 6, 2021
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070025425 | IL | MD | Pediatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 070025425 | IL | Yes |
Addresses
Primary practice location
917 Sherwood Dr Ste 201
Lake Bluff, IL 60044-2235
Mailing address
950 Lee St Ste 210
Des Plaines, IL 60016-6574
Other providers in Lake Bluff, IL
- Michelle Bracamontes
- Ryanne R Bright
- Mackenzie L Brindley
- David Peter Bronsveld
- Rachell Buhler
- Kathleen Marie Burke
- Timothy Burks
- Colin Burroughs
- Karen Burton
- Jennifer Calliss
All providers in Lake Bluff, IL · Pediatric 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 Aug 6, 2021. 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.