Provider Demographics
NPI:1346464138
Name:O'NEAL, LINDSAY M (DPT)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:M
Last Name:O'NEAL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MRS
Other - First Name:LINDSAY
Other - Middle Name:M
Other - Last Name:O'NEAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:16529 LANFEAR DR
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-4743
Mailing Address - Country:US
Mailing Address - Phone:815-834-2821
Mailing Address - Fax:
Practice Address - Street 1:1240 ESSINGTON RD
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-8408
Practice Address - Country:US
Practice Address - Phone:815-744-7108
Practice Address - Fax:815-773-7513
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070014074225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist