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NPI Code Detail

MEDICARE: KATHLEEN SWEENEY PT, DPT

MEDICARE: KATHLEEN SWEENEY PT, DPT
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
12251P0200XPediatric Physical Therapist070013737IL

General Provider Information

NPI Number : 1538284179
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN SWEENEY PT, DPT
Provider Business Mailing Address
First Line : 1723 N NEWLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60707-4410
Country : US
Telephone Number : 773-350-3409
Fax Number :
Provider Business Practice Location Address
First Line : 2211 N OAK PARK AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60707-3351
Country : US
Telephone Number : 773-385-5573
Fax Number : 773-385-5851
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 12/01/2010

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Directions to “ KATHLEEN SWEENEY PT, DPT” Practice Location

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