MEDICARE: KACIE TURCUATO DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070014614	IL

General Provider Information

NPI Number	:	1043351869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KACIE TURCUATO DPT

Provider Business Mailing Address
First Line	:	1301 W MADISON ST
Second Line	:	STE 104
City	:	CHICAGO
State	:	IL
Zip	:	60607-1936
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 W MADISON ST
Second Line	:	SUITE 104
City	:	CHICAGO
State	:	IL
Zip	:	60607-1936
Country	:	US
Telephone Number	:	312-421-7274
Fax Number	:	312-421-7289

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	11/23/2021

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