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General NPI Number Information
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NPI Number | 1396673620
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Entity Type | Individual
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Provider Name | ZACHARY IRWIN
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Gender | Male
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 19558 S HARLEM AVE STE 4
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City | FRANKFORT
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State | IL
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Zip | 60423-6743
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Country | US
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Telephone | 708-864-6000
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Fax | 978-303-4467
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Provider Business Mailing Address
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Address Line | 250 S NORTHWEST HWY STE 200
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City | PARK RIDGE
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State | IL
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Zip | 60068-4252
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Country | US
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Telephone | 847-324-3976
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Fax | 847-929-1154
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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 |
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License Number State | IL
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