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NPI Code Detail

MEDICARE: MS. ALICE R SCHMIDT RKT

MEDICARE: MS. ALICE R SCHMIDT RKT
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
1226300000XKinesiotherapist1182IL

General Provider Information

NPI Number : 1336165208
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALICE R SCHMIDT RKT
Provider Business Mailing Address
First Line : 905 E KRAGE DR
Second Line :
City : ADDISON
State : IL
Zip : 60101-4120
Country : US
Telephone Number : 630-833-5937
Fax Number :
Provider Business Practice Location Address
First Line : 820 S DAMEN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3728
Country : US
Telephone Number : 312-569-6388
Fax Number : 312-569-8050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 07/08/2007

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