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General NPI Number Information
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NPI Number | 1063609246
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 15 SPINNING WHEEL RD SUITE 24
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City | HINSDALE
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State | IL
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Zip | 60521-2914
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Country | US
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Telephone | 630-887-6929
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Fax | 630-887-6930
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Provider Business Mailing Address
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Address Line | 15 SPINNING WHEEL RD SUITE 24
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City | HINSDALE
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State | IL
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Zip | 60521-2914
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Country | US
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Telephone | 630-887-6929
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Fax | 630-887-6930
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Authorized Official
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Title or Position | PRESIDANT
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Name | MOHAMED SANAD
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Credential | P.T.
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Telephone | 708-336-1620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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