Lavender Physical Therapy, PLLC
Home Health in Des Plaines, IL. Organization (NPI-2).
NPI number1144823972
StatusActive
Last updated in NPPESDec 7, 2020
Details
- NPI
- 1144823972
- Entity type
- Organization (NPI-2)
- Legal business name
- Lavender Physical Therapy, PLLC
- Organization subpart
- No
- Enumeration date
- Nov 16, 2020
- Certification date
- Dec 7, 2020
- Last updated
- Dec 7, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
775 Devonshire DrDes Plaines, IL 60018-5569
Phone 224-616-1627
Mailing address
775 Devonshire DrDes Plaines, IL 60018-5569
Authorized official
Vivian Kim Chau
Member
2246161627
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All 47 Home Health Agency providers in Des Plaines · All 1,811 providers in Des Plaines
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