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General NPI Number Information
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NPI Number | 1841763554
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Entity Type | Organization
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Legal Business Name | NEW JOURNEY PHYSICAL THERAPY, L.L.C.
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Dates
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Enumeration Date | 01/04/2019
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 1893 SHERIDAN RD STE 206
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-2637
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Country | US
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Telephone | 224-707-0765
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Fax |
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Provider Business Mailing Address
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Address Line | 655 DEERFIELD RD 100 STE 176
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City | DEERFIELD
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State | IL
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Zip | 60015-2921
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Country | US
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Telephone | 224-707-0774
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Fax |
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPIST
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Name | KATHERINE UTTECH
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Credential | PT, DPT
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Telephone | 224-707-0774
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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 |
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License Number State |
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Taxonomy #2
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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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