Most Relevant Information
Provider Data
| NPI Number: | 1003080300 |
| Provider Name: | SUE AILEEN LUTZ PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/17/2008 |
| Last Updated: | 04/17/2008 |
Provider Practice Location
36550 HUNT CLUB
PFP
GURNEE
IL
60031
Practice Location Phone/Fax
| Phone: | 2622061567 |
| Fax: | 2622489479 |
Provider Mailing Location
PO BOX 306
WADSWORTH
IL
600830306
Provider Mailing Phone/Fax
| Phone: | 2622061567 |
| Fax: | 2622489479 |