Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Great Lakes Physical Medicine LLC

Organization Chiropractor · NPI 1356973267

Great Lakes Physical Medicine LLC is a Chiropractor in Beachwood, Ohio. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25200 Chagrin Blvd Ste 103
Beachwood, OH 44122-5681
Phone: (570) 575-5414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X
Physical Therapy Clinic/Center Taxonomy 261QP2000X

Record details

NPI number1356973267
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Wolk — Owner · (570) 575-5414
NPI enumeratedFebruary 8, 2020
Last updated in NPPESFebruary 8, 2020
Certification dateFebruary 8, 2020
Mailing address25200 Chagrin Blvd Ste 103, Beachwood, OH 44122-5681

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