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NPI Code Detail

MEDICARE: MRS. JULIANNA GAL SEGURA FT MS

MEDICARE:  MRS. JULIANNA GAL SEGURA  FT MS
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C1621229OTHERILBLUE CROSS

General Provider Information

NPI Number : 1518001171
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIANNA GAL SEGURA FT MS
Provider Business Mailing Address
First Line : 1221 N DEARBORN ST
Second Line : SUITE 1410N
City : CHICAGO
State : IL
Zip : 60610
Country : US
Telephone Number : 312-642-8519
Fax Number :
Provider Business Practice Location Address
First Line : 1221 N DEARBORN ST
Second Line : SUITE 1410N
City : CHICAGO
State : IL
Zip : 60610
Country : US
Telephone Number : 312-642-8519
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. JULIANNA GAL SEGURA FT MS” Practice Location

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