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General NPI Number Information
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NPI Number | 1528540457
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Entity Type | Organization
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Legal Business Name | MRE PHYSICAL THERAPY LTD.
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Dates
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Enumeration Date | 09/06/2018
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 1698 S ELMHURST RD STE 200
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City | MT PROSPECT
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State | IL
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Zip | 60056-5289
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Country | US
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Telephone | 224-210-1436
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Fax |
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Provider Business Mailing Address
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Address Line | 649 N OAKLAWN AVE
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City | ELMHURST
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State | IL
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Zip | 60126-1808
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Country | US
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Telephone | 224-210-1436
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PHILIP OLASA
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Credential |
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Telephone | 847-532-4051
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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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