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NPI Code Detail

MEDICARE: JOHN LOWE P.T.

MEDICARE:   JOHN  LOWE  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 TherapistIL

General Provider Information

NPI Number : 1457363467
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN LOWE P.T.
Provider Business Mailing Address
First Line : 2230 N LINCOLN AVE
Second Line : #503
City : CHICAGO
State : IL
Zip : 60614-6248
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4864 W IRVING PARK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60641-2718
Country : US
Telephone Number : 773-282-9751
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 07/08/2007

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Directions to “ JOHN LOWE P.T.” Practice Location

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