Provider Demographics
NPI:1154430338
Name:LIN, RIKA
Entity type:Individual
Prefix:
First Name:RIKA
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1926 PRAIRIE SQ
Mailing Address - Street 2:APT 129
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4142
Mailing Address - Country:US
Mailing Address - Phone:847-925-8160
Mailing Address - Fax:
Practice Address - Street 1:5524 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-1406
Practice Address - Country:US
Practice Address - Phone:773-561-7342
Practice Address - Fax:773-275-3007
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist