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NPI 1306262720

NPI 1306262720 : ALLISON KAY DILLENBURG PT, DPT : SOUTH ELGIN, IL

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General NPI Number Information
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    NPI Number           |    1306262720
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    Entity Type          |    Individual 
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    Provider Name        |    ALLISON KAY DILLENBURG PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/10/2014
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    Last Update Date     |    07/07/2025
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Provider Practice Location Address
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    Address Line         |    552 RANDALL RD 
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    City                 |    SOUTH ELGIN
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    State                |    IL
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    Zip                  |    60177-3315
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    Country              |    US
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    Telephone            |    630-315-6880
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    230 LAKESIDE CT APT 1111 
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    City                 |    ST CHARLES
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    State                |    IL
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    Zip                  |    60174-7925
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    Country              |    US
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    Telephone            |    630-315-6882
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    Fax                  |    630-315-6889
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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       |    070020587
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    112057
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    License Number State |    IA
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