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General NPI Number Information
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NPI Number | 1700909173
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Entity Type | Organization
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Legal Business Name | TOTALHEALTH & ORTHO REHAB CENTER INC.
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4116 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60618-3028
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Country | US
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Telephone | 773-975-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 4116 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60618-3028
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Country | US
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Telephone | 773-975-1818
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MISS SARAH GOLDMAN
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Credential |
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Telephone | 773-975-1818
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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 | 1681626
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License Number State | IL
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