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General NPI Number Information
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NPI Number | 1861726499
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Entity Type | Individual
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Provider Name | PILAR PHILAMER ANDRES ONG PT
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Gender | Female
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 06/30/2015
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Provider Practice Location Address
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Address Line | 2233 W DIVISION ST (ST. MARY'S AND ST. ELIZABETH'S HOSPITAL-RMC)
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City | CHICAGO
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State | IL
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Zip | 60622-8151
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Country | US
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Telephone | 312-770-2189
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Fax |
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Provider Business Mailing Address
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Address Line | 1775 W DEMPSTER
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City | PARK RIDGE
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State | IL
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Zip | 60068-2283
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Country | US
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Telephone | 847-723-7061
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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 | 070.016102
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License Number State | IL
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