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General NPI Number Information
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NPI Number | 1790082154
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Entity Type | Organization
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Legal Business Name | JUST RIGHT PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 02/22/2011
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Last Update Date | 02/22/2011
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Provider Practice Location Address
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Address Line | 5729 N CENTRAL AVE
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City | CHICAGO
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State | IL
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Zip | 60646-5555
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Country | US
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Telephone | 773-675-3700
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Fax | 630-752-0245
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Provider Business Mailing Address
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Address Line | 62 E SCHUBERT AVE
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City | GLENDALE HEIGHTS
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State | IL
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Zip | 60139-2022
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Country | US
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Telephone | 630-752-0245
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Fax | 630-752-0245
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ANN L PHILIP
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Credential | PT
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Telephone | 773-682-9348
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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 | 070011749
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License Number State | IL
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