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NPI 1780136648

NPI 1780136648 : GINA PIZZOFERRATO DPT : HOFFMAN ESTATES, IL

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General NPI Number Information
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    NPI Number           |    1780136648
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    Entity Type          |    Individual 
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    Provider Name        |    GINA PIZZOFERRATO DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/26/2016
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    Last Update Date     |    04/27/2025
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Provider Practice Location Address
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    Address Line         |    3200 W HIGGINS RD STE 102 
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    City                 |    HOFFMAN ESTATES
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    State                |    IL
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    Zip                  |    60169-2174
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    Country              |    US
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    Telephone            |    847-807-6800
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    Fax                  |    847-807-6807
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Provider Business Mailing Address
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    Address Line         |    33900 HARPER AVE STE 104 
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    City                 |    CLINTON TOWNSHIP
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    State                |    MI
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    Zip                  |    48035-4258
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    Country              |    US
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    Telephone            |    586-350-2644
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    070021731
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    License Number State |    IL
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