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General NPI Number Information
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NPI Number | 1255798583
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Entity Type | Organization
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Legal Business Name | CHICAGO TOP PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 01/18/2016
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 4055 W PETERSON AVE STE 103
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City | CHICAGO
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State | IL
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Zip | 60646-6183
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Country | US
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Telephone | 773-993-0366
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Fax | 773-993-0240
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Provider Business Mailing Address
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Address Line | 4055 W PETERSON AVE STE 103
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City | CHICAGO
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State | IL
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Zip | 60646-6183
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Country | US
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Telephone | 773-993-0366
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Fax | 773-993-0240
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HANSEOK OH
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Credential | DPT
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Telephone | 773-993-0366
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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 | 070.020275
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License Number State | IL
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