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NPI Code Detail

MEDICARE: MARYROSE PUGLIA

MEDICARE: MARYROSE PUGLIA
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 Therapist070016546IL

General Provider Information

NPI Number : 1497901425
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYROSE PUGLIA
Provider Business Mailing Address
First Line : 900 RAND RD
Second Line : SUITE 300
City : DES PLAINES
State : IL
Zip : 60016-2359
Country : US
Telephone Number : 847-324-3976
Fax Number :
Provider Business Practice Location Address
First Line : 900 RAND RD
Second Line : SUITE 300
City : DES PLAINES
State : IL
Zip : 60016-2359
Country : US
Telephone Number : 847-954-7646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2008
Last Update Date : 01/10/2017

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Directions to “ MARYROSE PUGLIA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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