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General NPI Number Information
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NPI Number | 1073782686
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Entity Type | Organization
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Legal Business Name | CHICAGO PHYSICAL THERAPY & REHABILITATION
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 30 S MICHIGAN AVE STE 402
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City | CHICAGO
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State | IL
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Zip | 60603-3211
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Country | US
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Telephone | 312-726-5163
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Fax | 312-726-5238
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Provider Business Mailing Address
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Address Line | 30 S MICHIGAN AVE STE 402
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City | CHICAGO
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State | IL
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Zip | 60603-3211
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Country | US
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Telephone | 312-726-5163
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Fax | 312-726-5238
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | CRISTINA OLTEANU
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Credential | LPT
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Telephone | 312-726-5163
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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 | IL
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