Whalio Doctors

NPI 1649008665

Amy E Lefstad

Practitioner Recreation Therapist North Chicago, IL

Practice location

Address
3001 Green Bay Rd, North Chicago, IL 60064-3048
Phone
(224) 610-5885
Mailing address
7817 22nd Ave, Kenosha, WI 53143-5720

Registered specialties

Recreation Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 53962 (WI)

Registry record

NPI
1649008665
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Jul 2024
Record last updated
22 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.