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General NPI Number Information
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NPI Number | 1366711095
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Entity Type | Organization
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Legal Business Name | SINAPSIS LLC
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Dates
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Enumeration Date | 12/27/2011
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Last Update Date | 12/27/2011
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Provider Practice Location Address
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Address Line | 5934 W EASTWOOD AVE 3RD FLOOR
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City | CHICAGO
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State | IL
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Zip | 60630-3105
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Country | US
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Telephone | 312-420-8414
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Fax | 773-227-7799
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Provider Business Mailing Address
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Address Line | 5934 W EASTWOOD AVE 3RD FLOOR
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City | CHICAGO
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State | IL
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Zip | 60630-3105
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Country | US
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Telephone | 312-420-8414
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. IGOR LOCHERT
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Credential |
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Telephone | 312-420-8414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 224Y00000X
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Taxonomy Name | Clinical Exercise Physiologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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