Provider Demographics
NPI:1578220281
Name:NAKVOSIENE, LAIMA (DPT)
Entity Type:Individual
Prefix:
First Name:LAIMA
Middle Name:
Last Name:NAKVOSIENE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16W308 95TH PL
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-6808
Mailing Address - Country:US
Mailing Address - Phone:773-816-2009
Mailing Address - Fax:
Practice Address - Street 1:12220 WILL COOK RD
Practice Address - Street 2:
Practice Address - City:PALOS PARK
Practice Address - State:IL
Practice Address - Zip Code:60464-7332
Practice Address - Country:US
Practice Address - Phone:630-257-2291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-17
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0700199792251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics