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General NPI Number Information
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NPI Number | 1144324419
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Entity Type | Organization
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Legal Business Name | COMMITMENT PHYSICAL THERAPY P.C
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 08/20/2007
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Provider Practice Location Address
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Address Line | 11741 SOUTHWEST HIGHWAY
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1046
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Country | US
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Telephone | 708-361-8052
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Fax | 708-361-8053
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Provider Business Mailing Address
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Address Line | 11741 SOUTHWEST HWY
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1891
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Country | US
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Telephone | 708-361-8052
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Fax | 708-361-8053
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Authorized Official
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Title or Position | DR./ REGISTERED PHYSICAL THERAPIST
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Name | DR. NAGLAA ELSKENIDY
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Credential | DSC, M.S, P.T
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Telephone | 708-361-8052
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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 | 070-007638
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License Number State | IL
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