Doctor Name: | LILLIAN KONG |
NPI Number: | 1124355235 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 070.011753 |
Business Practice Address: | 7411 Lake St Suite 2190 River Forest, IL - 603051876 |
Business Phone Number: | 7084881700 |
Business Fax Number: | |
Mailing Address: | 7411 Lake St, Suite 2190 RIVER FOREST |
State: | IL |
Postal Code: | 603051876 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/10/2009 |
NPI Last Update Date: | 11/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070.011753 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |