Provider Demographics
NPI:1407096696
Name:SCHAECHTERLE, LORIN MICHELLE (MPT)
Entity Type:Individual
Prefix:MRS
First Name:LORIN
Middle Name:MICHELLE
Last Name:SCHAECHTERLE
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1617 N OAKLEY AVE # 1B
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-5318
Mailing Address - Country:US
Mailing Address - Phone:312-718-2748
Mailing Address - Fax:
Practice Address - Street 1:150 E HURON ST STE 803
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2912
Practice Address - Country:US
Practice Address - Phone:312-640-2473
Practice Address - Fax:312-640-2475
Is Sole Proprietor?:No
Enumeration Date:2009-02-27
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070016936225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist