SearchIllinoisPhysical Therapist

Diane Boquist

NPI 1780088443 · on the registry since 2014

Practice

Address
28401 N Ballard Dr Ste G
Lake Forest, IL 60045
Phone
(224) 212-0624
Organisation at this address
Revive Physical Therapy & Rehabilitation Specialists
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Physical Therapist
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-26

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