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NPI Code Detail

MEDICARE: MS. LYNDSEY MACGREGOR P.T.

MEDICARE: MS. LYNDSEY MACGREGOR 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 Therapist070.008792IL

General Provider Information

NPI Number : 1578615639
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LYNDSEY MACGREGOR P.T.
Provider Business Mailing Address
First Line : 2242 N SAWYER AVE # 1
Second Line :
City : CHICAGO
State : IL
Zip : 60647-2710
Country : US
Telephone Number : 773-235-4417
Fax Number :
Provider Business Practice Location Address
First Line : 2533 N SOUTHPORT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60614-7166
Country : US
Telephone Number : 773-472-2731
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2007
Last Update Date : 09/09/2008

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