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NPI Code Detail

MEDICARE: EMILY CAROLINE MOEHLMANN

MEDICARE: EMILY CAROLINE MOEHLMANN
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 Therapist070028828IL

General Provider Information

NPI Number : 1942736814
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY CAROLINE MOEHLMANN
Provider Business Mailing Address
First Line : 2727 W MELROSE ST APT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60618-9312
Country : US
Telephone Number : 314-435-6677
Fax Number :
Provider Business Practice Location Address
First Line : 2869 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-4201
Country : US
Telephone Number : 314-435-6677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2017
Last Update Date : 03/10/2026

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Directions to “ EMILY CAROLINE MOEHLMANN ” Practice Location

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