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General NPI Number Information
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NPI Number | 1548448574
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Entity Type | Organization
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Legal Business Name | WINDY CITY PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 2515 N CLARK ST SUITE 907
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City | CHICAGO
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State | IL
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Zip | 60614-2730
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Country | US
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Telephone | 773-294-1582
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Fax |
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Provider Business Mailing Address
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Address Line | 1137 W TAYLOR ST UNIT 179
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City | CHICAGO
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State | IL
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Zip | 60607-4380
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Country | US
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Telephone | 773-294-1582
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, PHYSICAL THERAPIST
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Name | MRS. DEANNINE BERNADETTE WEBER
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Credential | P.T.
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Telephone | 773-294-1582
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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 | IL
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