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General NPI Number Information
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NPI Number | 1508954991
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Entity Type | Organization
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Legal Business Name | A.L.L. THERAPY SERVICES, PC
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2158 W GRAND AVE SUITE 202
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City | CHICAGO
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State | IL
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Zip | 60612-1571
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Country | US
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Telephone | 312-401-0975
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5217
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City | CHICAGO
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State | IL
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Zip | 60680-5217
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Country | US
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Telephone | 312-401-0975
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ALISON LIDDLE
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Credential | PT, MPP, PCS
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Telephone | 312-401-0974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | IL
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