Basic Information
| Provider Information | |||||||||
| NPI: | 1548301351 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LINDQUIST LENGAR | ||||||||
| FirstName: | SARAH | ||||||||
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| Credential: | MPT | ||||||||
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| OtherLastName: | LINDQUIST | ||||||||
| OtherFirstName: | SARAH | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 910 W VAN BUREN ST | ||||||||
| Address2: | STE 419 | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606073523 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8777091090 | ||||||||
| FaxNumber: | 6308769187 | ||||||||
| Practice Location | |||||||||
| Address1: | 211 N CLINTON ST | ||||||||
| Address2: | STE 2S | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606611282 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8777091090 | ||||||||
| FaxNumber: | 6308769187 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/12/2007 | ||||||||
| LastUpdateDate: | 04/21/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 070014987 | IL | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.