Provider Demographics
NPI:1649328071
Name:AUKLAND, KAREN A (PT, PCS)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:AUKLAND
Suffix:
Gender:F
Credentials:PT, PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 N GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-2041
Mailing Address - Country:US
Mailing Address - Phone:630-629-0138
Mailing Address - Fax:
Practice Address - Street 1:319 N GARFIELD ST
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-2041
Practice Address - Country:US
Practice Address - Phone:630-629-0138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.0027812251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
2821105ZOtherR&G CONSULTANTS MEDICARE
IL02232458OtherBCBS PROVIDER NUMBER