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General NPI Number Information
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NPI Number | 1053565192
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Entity Type | Organization
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Legal Business Name | ADVANCED PHYSIOTHERAPY INC
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Dates
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Enumeration Date | 11/14/2008
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Last Update Date | 03/23/2009
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Provider Practice Location Address
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Address Line | 11240 S WESTERN AVE SUITE 3
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City | CHICAGO
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State | IL
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Zip | 60643-4116
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Country | US
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Telephone | 773-779-1111
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Fax | 773-779-1525
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Provider Business Mailing Address
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Address Line | 8751 WATERFRONT DR APT 2B
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City | PALOS HILLS
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State | IL
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Zip | 60465-3143
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/PRESIDENT
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Name | IZABELA ADAMUS
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Credential |
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Telephone | 708-525-4640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 070.009084
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License Number State | IL
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