MEDICARE: SARAH J PLUMLEY PT

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
1	225100000X	Physical Therapist	070020150	IL

General Provider Information

NPI Number	:	1720412109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH J PLUMLEY PT

Provider Business Mailing Address
First Line	:	1420 KENSINGTON RD
Second Line	:	STE 106
City	:	OAK BROOK
State	:	IL
Zip	:	60523-2143
Country	:	US
Telephone Number	:	630-427-4192
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 N CLINTON ST
Second Line	:	STE 2S
City	:	CHICAGO
State	:	IL
Zip	:	60661-1282
Country	:	US
Telephone Number	:	312-268-6050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2013
Last Update Date	:	08/21/2013

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Directions to “ SARAH J PLUMLEY PT” Practice Location

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