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General NPI Number Information
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NPI Number | 1346414232
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Entity Type | Organization
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Legal Business Name | LITTLE HEROES LLC
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 15 COMMERCE DR SUITE 112
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City | GRAYSLAKE
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State | IL
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Zip | 60030-7807
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Country | US
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Telephone | 847-223-0200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 282
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City | GRAYSLAKE
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State | IL
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Zip | 60030-0282
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Country | US
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Telephone | 847-223-0200
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHERRI GOLEBIOWSKI
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Credential | PT
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Telephone | 847-223-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 070011482
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License Number State | IL
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