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1053626770 NPI number — MARY A GEIMER ONEIL PHYSICAL THEREPIST

NPI Number: 1053626770
Health Care Provider/Practitioner: MARY A GEIMER ONEIL PHYSICAL THEREPIST

Information about “1053626770” NPI (MARY A GEIMER ONEIL PHYSICAL THEREPIST) exists in 1053626770 in HTML format HTML  |  1053626770 in plain Text format TXT  |  1053626770 in PDF (Portable Document Format) PDF  |  1053626770 in an XML format XML  formats.

NPI Number : 1053626770 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053626770",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GEIMER ONEIL",
    "FirstName": "MARY",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHYSICAL THEREPIST",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GEIMER ONEIL",
    "OtherFirstName": "MARY",
    "OtherMiddleName": "A",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "PHYSICAL THEREPIST",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "4807 W 95TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAK LAWN",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60453-2501",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "708-599-1983",
    "MailingAddressFaxNumber": "708-599-7420",
    "FirstLinePracticeLocationAddress": "4807 W 95TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAK LAWN",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60453-2501",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "708-599-1983",
    "PracticeLocationAddressFaxNumber": "708-599-7420",
    "EnumerationDate": "08/18/2010",
    "LastUpdateDate": "12/10/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "070.005036",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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