James Lysaught, OTR/L

NPI 1588122733 · on the registry since 2019

Practice

Address: 13259 S Central Ave
Palos Heights, IL 60463
Phone: (708) 302-6350
Organisation at this address: Providence Operations, Llc
Marianjoy At Providence Palos Heights
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 225X00000X
225X00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois