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General NPI Number Information
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NPI Number | 1649155268
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Entity Type | Organization
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Legal Business Name | MADE RESILIENT PHYSICAL THERAPY AND SPORTS PERFORMANCE, PLLC
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 2000 N RACINE AVE STE 1000B
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City | CHICAGO
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State | IL
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Zip | 60614-7011
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Country | US
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Telephone | 708-710-6646
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Fax |
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Provider Business Mailing Address
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Address Line | 111 S MORGAN ST APT 515
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City | CHICAGO
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State | IL
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Zip | 60607-2729
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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 AND OWNER
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Name | DR. MEREDITH ATKENSON
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Credential | PT
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Telephone | 708-710-6646
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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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Taxonomy #2
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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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