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General NPI Number Information
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NPI Number | 1629959093
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Entity Type | Organization
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Legal Business Name | NXT LVL PT INC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 2000 N RACINE AVE
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City | CHICAGO
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State | IL
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Zip | 60614-7006
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Country | US
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Telephone | 847-873-3292
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Fax |
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Provider Business Mailing Address
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Address Line | 401 E ONTARIO ST APT 2705
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City | CHICAGO
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State | IL
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Zip | 60611-7183
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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 | PHYSICAL THERAPIST
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Name | MR. NIKOLAS H PSARROS
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Credential | DPT, SCS
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Telephone | 847-873-3202
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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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