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NPI Code Detail

MEDICARE: MRS. JULIE A CONROY P.T.

MEDICARE: MRS. JULIE A CONROY P.T.
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 Therapist0700005946IL

General Provider Information

NPI Number : 1245412741
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE A CONROY P.T.
Provider Business Mailing Address
First Line : 319 FRONT ST
Second Line :
City : MCHENRY
State : IL
Zip : 60050-5504
Country : US
Telephone Number : 815-578-9655
Fax Number : 815-578-9642
Provider Business Practice Location Address
First Line : 319 FRONT ST
Second Line :
City : MCHENRY
State : IL
Zip : 60050-5504
Country : US
Telephone Number : 815-578-9655
Fax Number : 815-578-9642
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2007
Last Update Date : 05/19/2008

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