Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | IL |
NPI | 1023091626 |
---|---|
Provider Name | Mr. Kathryn Eve Lemmon |
First Address | Evanston, IL 60202-6506 |
Second Address | Chicago, IL 60610-2809 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2005 |
Last Update Date | 08/07/2007 |