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General NPI Number Information
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NPI Number | 1912119801
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Entity Type | Organization
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Legal Business Name | QUALITY THERAPY P.C.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1634 E 53RD ST #106
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City | CHICAGO
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State | IL
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Zip | 60615-4389
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Country | US
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Telephone | 773-430-7167
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Fax | 773-324-5163
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Provider Business Mailing Address
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Address Line | 1634 E 53RD ST #106
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City | CHICAGO
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State | IL
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Zip | 60615-4389
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Country | US
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Telephone | 773-430-7167
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Fax | 773-324-5163
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Authorized Official
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Title or Position | PRESIDENT THERAPIST
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Name | KATHY JO WEBB
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Credential | MPA,OTRL
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Telephone | 773-430-7167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | IL
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