Provider Demographics
NPI:1164384681
Name:CERTIFIED LYMPHATICS PLLC
Entity type:Organization
Organization Name:CERTIFIED LYMPHATICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/CERTIFIED LYMPH
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:BENEDICT
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CLT-LANA
Authorized Official - Phone:630-965-6721
Mailing Address - Street 1:672 TERRY RD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60139-3329
Mailing Address - Country:US
Mailing Address - Phone:630-965-6721
Mailing Address - Fax:
Practice Address - Street 1:672 TERRY RD
Practice Address - Street 2:
Practice Address - City:GLENDALE HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60139-3329
Practice Address - Country:US
Practice Address - Phone:630-965-6721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-02
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy