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General NPI Number Information
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NPI Number | 1710602263
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Entity Type | Organization
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Legal Business Name | RELIVE PHYSICAL THERAPY LLC - HART ROAD BARRINGTON
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Dates
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Enumeration Date | 10/06/2022
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 600 HART RD STE 320
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City | BARRINGTON
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State | IL
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Zip | 60010-2603
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Country | US
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Telephone | 708-390-3362
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Fax |
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Provider Business Mailing Address
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Address Line | 19070 EVERETT BLVD UNIT 204
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City | MOKENA
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State | IL
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Zip | 60448-2073
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Country | US
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Telephone | 708-390-3362
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES D JUDGE
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Credential | PT
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Telephone | 708-390-3362
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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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