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NPI Code Detail

MEDICARE: ABBY M TRYON DPT

MEDICARE: ABBY M TRYON 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
1225100000XPhysical Therapist070023926IL

General Provider Information

NPI Number : 1215421896
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBY M TRYON DPT
Provider Business Mailing Address
First Line : 2122 YORK RD STE 300
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1925
Country : US
Telephone Number : 630-575-1980
Fax Number : 630-928-5080
Provider Business Practice Location Address
First Line : 6860 N FRONTAGE RD STE B
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-7828
Country : US
Telephone Number : 630-686-4123
Fax Number : 630-581-0385
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2018
Last Update Date : 10/24/2024

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