Provider Demographics
NPI:1346941341
Name:APKE, THEODOR (LMT)
Entity Type:Individual
Prefix:MR
First Name:THEODOR
Middle Name:
Last Name:APKE
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:THEO
Other - Middle Name:
Other - Last Name:APKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1325 S WABASH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-2506
Mailing Address - Country:US
Mailing Address - Phone:773-270-2055
Mailing Address - Fax:
Practice Address - Street 1:1325 S WABASH AVE STE 100
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-2506
Practice Address - Country:US
Practice Address - Phone:773-270-2055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-15
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist