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General NPI Number Information
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NPI Number | 1942187893
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Entity Type | Organization
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Legal Business Name | STAY HOME PHYSICAL THERAPY
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 436 RIDGE AVE
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City | CLARENDON HILLS
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State | IL
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Zip | 60514-2706
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Country | US
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Telephone | 708-829-1293
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Fax |
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Provider Business Mailing Address
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Address Line | 436 RIDGE AVE
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City | CLARENDON HILLS
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State | IL
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Zip | 60514-2706
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Country | US
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Telephone | 708-829-1293
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY
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Name | KATE EDWARDS
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Credential | PT, DPT
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Telephone | 708-829-1293
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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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