Provider Demographics
NPI:1275258303
Name:OPATRNY, LAUREN MARIE (DPT)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:MARIE
Last Name:OPATRNY
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 1:790 FLETCHER DR STE 101
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-4757
Mailing Address - Country:US
Mailing Address - Phone:847-697-7800
Mailing Address - Fax:
Practice Address - Street 1:790 FLETCHER DR STE 101
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-4757
Practice Address - Country:US
Practice Address - Phone:847-697-7807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.026994225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist