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General NPI Number Information
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NPI Number | 1386368348
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Entity Type | Organization
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Legal Business Name | TK PHYSICAL THERAPY AND SPORTS PERFORMANCE PLLC
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 2000 N RACINE AVE
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City | CHICAGO
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State | IL
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Zip | 60614-7006
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Country | US
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Telephone | 815-978-6725
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Fax |
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Provider Business Mailing Address
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Address Line | 3318 N DAMEN AVE UNIT 3
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City | CHICAGO
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State | IL
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Zip | 60618-4769
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Country | US
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Telephone | 815-978-6725
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | THEODORE KURLINKUS
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Credential | DPT
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Telephone | 815-978-6725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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