Provider Demographics
NPI:1801960299
Name:LUBINSKI, ART (PT)
Entity type:Individual
Prefix:MR
First Name:ART
Middle Name:
Last Name:LUBINSKI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6360 159TH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:OAK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60452-2725
Mailing Address - Country:US
Mailing Address - Phone:708-535-6100
Mailing Address - Fax:708-535-6111
Practice Address - Street 1:6360 159TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:OAK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60452-2725
Practice Address - Country:US
Practice Address - Phone:708-535-6100
Practice Address - Fax:708-535-6111
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic