Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Healthy Connection Physical Medicine Inc

Organization General Practice Physician · NPI 1770860124

Healthy Connection Physical Medicine Inc provides General Practice Physician services in Lockport, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16626 W 159th St SUITE700
Lockport, IL 60441-8018 Not confirmed with CMS for 13 years — call before visiting
Phone: (815) 834-9075
Fax: (815) 834-9077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 036126664 (IL)

Record details

NPI number1770860124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Puodziunas — Treasurer · (815) 834-9075
NPI enumeratedNovember 14, 2011
Last updated in NPPESAugust 13, 2013
Mailing address16626 W 159th St, Suite700, Lockport, IL 60441-8018

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