Melina Mary Alm, PT, DPT

Individual provider Active NPI Physical Therapist · Lake Forest, IL

NPI 1972189389 · NPPES record last updated Mar 24, 2021

Key facts

NPI
1972189389
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
070025426 (IL)
Practice address
900 N Westmoreland Rd Ste LL50
Lake Forest, IL 60045-1694
Phone
(224) 271-5400
NPI assigned
Mar 24, 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

LicenseStateTypeSpecialty
070025426ILMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070025426 IL Yes

Addresses

Primary practice location

900 N Westmoreland Rd Ste LL50
Lake Forest, IL 60045-1694

Mailing address

900 N Westmoreland Rd Ste LL50
Lake Forest, IL 60045-1694

Other names

  • Melina Mary Clark Former name

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL EPIC

Other providers in Lake Forest, IL

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

Sources for this page

Verify at the official NPI Registry.