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NPI 1275314213

NPI 1275314213 : RACHEL SHAH PT, DPT : WILLOWBROOK, IL

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General NPI Number Information
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    NPI Number           |    1275314213
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL SHAH PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/06/2023
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    Last Update Date     |    02/11/2026
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Provider Practice Location Address
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    Address Line         |    7229 KINGERY HWY 
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    City                 |    WILLOWBROOK
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    State                |    IL
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    Zip                  |    60527-7561
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    Country              |    US
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    Telephone            |    630-856-6415
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    600 OVALTINE CT UNIT 637 
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    City                 |    VILLA PARK
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    State                |    IL
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    Zip                  |    60181-2785
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    Country              |    US
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    Telephone            |    815-701-8136
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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       |    070026951
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    License Number State |    IL
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