Provider Demographics
NPI:1881317386
Name:LUND, CLARE N (PT, PDT)
Entity type:Individual
Prefix:DR
First Name:CLARE
Middle Name:N
Last Name:LUND
Suffix:
Gender:F
Credentials:PT, PDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2122 YORK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1925
Mailing Address - Country:US
Mailing Address - Phone:630-575-1908
Mailing Address - Fax:410-648-4878
Practice Address - Street 1:6411 E NORTHWEST HWY STE 180
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-8007
Practice Address - Country:US
Practice Address - Phone:214-265-9704
Practice Address - Fax:214-265-9705
Is Sole Proprietor?:No
Enumeration Date:2022-09-21
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1401307225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist