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General NPI Number Information
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NPI Number | 1891129284
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Entity Type | Organization
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Legal Business Name | SILOE REHABILITATION, INC.
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 7047 W BELMONT AVE
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City | CHICAGO
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State | IL
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Zip | 60634-4539
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Country | US
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Telephone | 708-692-9488
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Fax |
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Provider Business Mailing Address
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Address Line | 7047 W BELMONT AVE
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City | CHICAGO
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State | IL
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Zip | 60634-4539
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Country | US
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Telephone | 708-692-9488
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MALGORZATA KATARZYNA BARNAS
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Credential | PT
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Telephone | 708-692-9488
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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 | 070.011638
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License Number State | IL
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