Spencer, Lori Lynn

Spencer, Lori Lynn is an sole proprietor health care provider with primary practice located at 141 W Jackson Blvd Suite A 20, Chicago IL 60604-2929. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Spencer, Lori Lynn can be contacted via phone (312) 636-0440.

Contact Information

Primary practice address
141 W Jackson Blvd Suite A 20 Chicago IL 60604-2929
Phone: (312) 636-0440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227-003030 Illinois

Profile Details

NPI number 1659547164
LBN Legal business name Spencer, Lori Lynn
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2008
Last updated May 12th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659547164 NPPES
Illinois Other 227-003030 IL LICENSE

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