Provider Demographics
NPI:1780193672
Name:BEZDEK-COHEN, LESLEY JANE (PT, DPT)
Entity type:Individual
Prefix:
First Name:LESLEY
Middle Name:JANE
Last Name:BEZDEK-COHEN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:LESLEY
Other - Middle Name:JANE
Other - Last Name:BEZDEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2301 WILLOW RD STE L
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-7637
Mailing Address - Country:US
Mailing Address - Phone:630-933-1500
Mailing Address - Fax:630-933-1550
Practice Address - Street 1:2301 WILLOW RD STE L
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-7637
Practice Address - Country:US
Practice Address - Phone:630-933-1500
Practice Address - Fax:630-933-1550
Is Sole Proprietor?:No
Enumeration Date:2017-09-24
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070023340225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist