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

Lakeshore Physical Therapy, LLC

Organization Physical Therapy Clinic/Center · NPI 1629363064

Lakeshore Physical Therapy, LLC is a Physical Therapy Clinic/Center in Libertyville, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
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

712 S Milwaukee Ave Lowr Level
Libertyville, IL 60048-3279
Phone: (847) 362-1848
Fax: (847) 362-3351
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X (IL)

Record details

NPI number1629363064
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLake County Neurosurgery, LLC
Authorized official Jonathan Citow — Owner · (847) 362-1848
NPI enumeratedJune 14, 2011
Last updated in NPPESJune 17, 2011
Mailing address712 S Milwaukee Ave, Lower Level, Libertyville, IL 60048-3279

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