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General NPI Number Information
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NPI Number | 1619890183
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Entity Type | Individual
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Provider Name | MICHAEL GERARD SENESE
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Gender | Male
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 1170 E BELVIDERE RD STE 108
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City | GRAYSLAKE
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State | IL
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Zip | 60030-2034
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Country | US
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Telephone | 847-543-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 4441 N OPAL AVE
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City | NORRIDGE
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State | IL
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Zip | 60706-4418
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Country | US
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Telephone |
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Fax |
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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 | 070.039847
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License Number State | IL
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