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General NPI Number Information
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NPI Number | 1871211607
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Entity Type | Organization
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Legal Business Name | 606 PHYSIO LLC
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Dates
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Enumeration Date | 08/18/2022
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 645 S CLARK ST
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City | CHICAGO
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State | IL
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Zip | 60605-1701
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Country | US
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Telephone | 312-529-8187
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Fax | 312-252-0266
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Provider Business Mailing Address
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Address Line | 2852 S LOWE AVE
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City | CHICAGO
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State | IL
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Zip | 60616-2511
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Country | US
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Telephone | 312-529-8187
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Fax | 312-252-0266
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Authorized Official
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Title or Position | OWNER
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Name | BRADLEY TROMPETER
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Credential | PT
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Telephone | 312-217-2550
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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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