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General NPI Number Information
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NPI Number | 1598337644
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Entity Type | Organization
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Legal Business Name | CITY NORTH PHYSICAL THERAPY LTD
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Dates
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Enumeration Date | 07/16/2021
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Last Update Date | 07/16/2021
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Provider Practice Location Address
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Address Line | 6232 N PULASKI RD
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City | CHICAGO
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State | IL
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Zip | 60646-5132
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Country | US
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Telephone | 312-437-1129
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Fax |
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Provider Business Mailing Address
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Address Line | 710 N DEARBORN ST
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City | CHICAGO
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State | IL
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Zip | 60654-5900
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Country | US
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Telephone | 312-819-2849
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Fax | 312-786-4669
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Authorized Official
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Title or Position | OWNER
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Name | MARC STRONGIN
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Credential | DC
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Telephone | 312-451-4913
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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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