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General NPI Number Information
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NPI Number | 1588345920
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Entity Type | Individual
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Provider Name | TIMOTHY R WOHL DPT
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Gender | Male
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Dates
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Enumeration Date | 07/28/2023
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 4620 N CLARK ST
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City | CHICAGO
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State | IL
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Zip | 60640-4620
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Country | US
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Telephone | 773-728-2690
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Fax | 773-728-2692
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Provider Business Mailing Address
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Address Line | 259 E ERIE ST STE 1450
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City | CHICAGO
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State | IL
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Zip | 60611-3947
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Country | US
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Telephone | 312-695-7746
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Fax | 312-694-6387
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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 |
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