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General NPI Number Information
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NPI Number | 1659839983
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Entity Type | Organization
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Legal Business Name | PHYSICALS PLUS, INC
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Dates
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Enumeration Date | 03/05/2019
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 19740 GOVERNORS HWY STE 116
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City | FLOSSMOOR
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State | IL
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Zip | 60422-2085
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Country | US
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Telephone | 708-607-2503
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Fax | 778-200-3824
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Provider Business Mailing Address
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Address Line | 19740 GOVERNORS HWY STE 116
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City | FLOSSMOOR
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State | IL
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Zip | 60422-2085
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Country | US
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Telephone | 708-607-2503
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Fax | 778-200-3824
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Authorized Official
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Title or Position | PRESIDENT
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Name | APRIL J ODOM
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Credential | NP
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Telephone | 312-371-7489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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