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General NPI Number Information
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NPI Number | 1285425421
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Entity Type | Individual
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Provider Name | MADISON MARY RONZONE PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 5100 MAIN ST STE 100
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-5144
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Country | US
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Telephone | 630-967-2000
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Fax | 708-398-6869
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Provider Business Mailing Address
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Address Line | POB 7132960
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City | CHICAGO
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State | IL
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Zip | 60677-0001
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Country | US
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Telephone | 630-469-9200
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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 | 070-029107
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License Number State | IL
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