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General NPI Number Information
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NPI Number | 1164775631
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Entity Type | Individual
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Provider Name | ALLISON ERNT KROEGER DPT
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Gender | Female
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Dates
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Enumeration Date | 10/22/2012
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 6501 S PROMONTORY DR
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City | CHICAGO
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State | IL
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Zip | 60649
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Country | US
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Telephone | 773-256-5972
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Fax |
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Provider Business Mailing Address
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Address Line | 1925 S ALLPORT ST UNIT 2
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City | CHICAGO
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State | IL
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Zip | 60608-3207
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Country | US
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Telephone | 708-717-5424
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 070019270
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License Number State | IL
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