Provider Demographics
NPI:1184754244
Name:LUX, CARSON R (PT)
Entity type:Individual
Prefix:
First Name:CARSON
Middle Name:R
Last Name:LUX
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:600 OAKMONT LN
Mailing Address - Street 2:STE 600C
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5548
Mailing Address - Country:US
Mailing Address - Phone:630-575-6250
Mailing Address - Fax:630-575-7450
Practice Address - Street 1:800 S WELLS ST
Practice Address - Street 2:SUITE 137
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-4529
Practice Address - Country:US
Practice Address - Phone:312-432-2590
Practice Address - Fax:312-427-0616
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2018-08-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL070008518225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist