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General NPI Number Information
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NPI Number | 1336525559
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Entity Type | Individual
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Provider Name | GENE KRUHLY PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/11/2015
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Last Update Date | 11/21/2019
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Provider Practice Location Address
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Address Line | 7575 S KOSTNER AVE
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City | CHICAGO
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State | IL
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Zip | 60652-1151
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Country | US
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Telephone | 773-838-2352
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Fax |
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Provider Business Mailing Address
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Address Line | 5632 VIRGINIA AVE
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City | CLARENDON HILLS
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State | IL
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Zip | 60514-1517
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Country | US
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Telephone | 224-628-9491
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 070021545
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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 | 070021545
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License Number State | IL
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