Provider Demographics
NPI:1457543811
Name:NAUMAN KALEEL, LINDSEY (PT)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:
Last Name:NAUMAN KALEEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:NAUMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:201 LINCOLN STATUE DR
Mailing Address - Street 2:
Mailing Address - City:DIXON
Mailing Address - State:IL
Mailing Address - Zip Code:61021-2000
Mailing Address - Country:US
Mailing Address - Phone:815-284-1700
Mailing Address - Fax:815-284-1704
Practice Address - Street 1:201 LINCOLN STATUE DR
Practice Address - Street 2:
Practice Address - City:DIXON
Practice Address - State:IL
Practice Address - Zip Code:61021-2000
Practice Address - Country:US
Practice Address - Phone:815-284-1700
Practice Address - Fax:815-284-1704
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK47984Medicare UPIN