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General NPI Number Information
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NPI Number | 1962951814
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Entity Type | Organization
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Legal Business Name | RETURN TO SPORT PHYSICAL THERAPY CORP
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Dates
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Enumeration Date | 10/03/2016
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Last Update Date | 05/01/2018
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Provider Practice Location Address
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Address Line | 293 NORTHFIELD RD
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City | NORTHFIELD
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State | IL
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Zip | 60093-3311
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Country | US
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Telephone | 847-386-6310
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Fax | 224-255-6756
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Provider Business Mailing Address
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Address Line | PO BOX 391
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60006-0391
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Country | US
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Telephone | 847-386-6310
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Fax | 224-255-6756
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Authorized Official
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Title or Position | OWNER
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Name | JOHN ALLEMAND
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Credential | PT
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Telephone | 847-386-6310
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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 | 070011833
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License Number State | IL
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