Provider Demographics
NPI:1871127530
Name:LAUSCHKE, NOELLE ANGELI (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:NOELLE
Middle Name:ANGELI
Last Name:LAUSCHKE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2403 BALDWIN CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60503-5796
Mailing Address - Country:US
Mailing Address - Phone:630-335-5470
Mailing Address - Fax:
Practice Address - Street 1:1308 GAME FARM RD
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-2110
Practice Address - Country:US
Practice Address - Phone:630-553-5811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.022972225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist