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

Individual provider Physical Therapy Assistant · NPI 1609546084

Matthew R Lysik is a Physical Therapy Assistant in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
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Practice location Address checks out

1801 S Michigan Ave Unit 105
Chicago, IL 60616-1636
Phone: (815) 603-8833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.009235 (IL)

Record details

NPI number1609546084
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 16, 2021
Last updated in NPPESSeptember 16, 2021
Certification dateSeptember 16, 2021
Mailing address1801 S Michigan Ave Unit 105, Chicago, IL 60616-1636

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