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General NPI Number Information
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NPI Number | 1033638010
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Entity Type | Organization
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Legal Business Name | DYNAMIC PHYSICAL THERAPY CHICAGO LLC
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Dates
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Enumeration Date | 09/11/2017
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 220 W HURON ST STE 2004
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City | CHICAGO
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State | IL
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Zip | 60654-3951
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Country | US
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Telephone | 312-778-6455
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Fax | 312-896-5993
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Provider Business Mailing Address
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Address Line | 220 W HURON ST STE 2004
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City | CHICAGO
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State | IL
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Zip | 60654-3951
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Country | US
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Telephone | 312-643-1555
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Fax | 312-896-5993
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Authorized Official
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Title or Position | OWNER
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Name | MEREDITH FRANCZYK
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Credential | PT
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Telephone | 773-606-9196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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