Provider Demographics
NPI:1598933913
Name:UTHE, LINDSAY R (PT, DPT)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:R
Last Name:UTHE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 S MICHIGAN AVE STE 1441
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60603-6173
Mailing Address - Country:US
Mailing Address - Phone:312-986-9833
Mailing Address - Fax:312-962-8855
Practice Address - Street 1:122 S MICHIGAN AVE STE 1441
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-6173
Practice Address - Country:US
Practice Address - Phone:312-986-9833
Practice Address - Fax:312-962-8855
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070014970225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1619908OtherBCBS IL GROUP
IL568080OtherMEDICARE GROUP NUMBER
IL567700OtherMEDICARE GROUP NUMBER
IL568150OtherMEDICARE GROUP NUMBER