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General NPI Number Information
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NPI Number | 1972946168
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Entity Type | Organization
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Legal Business Name | VESTRA REHABILITATION SERVICES, INC
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Dates
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Enumeration Date | 04/08/2013
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Last Update Date | 02/17/2016
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Provider Practice Location Address
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Address Line | 3000 DUNDEE RD SUITE 308
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City | NORTHBROOK
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State | IL
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Zip | 60062-2422
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Country | US
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Telephone | 224-306-2041
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Fax | 224-330-1366
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Provider Business Mailing Address
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Address Line | 560 GREENVIEW LN
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City | WHEELING
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State | IL
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Zip | 60090-3207
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Country | US
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Telephone | 847-293-7412
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Fax | 224-330-1366
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Authorized Official
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Title or Position | OWNER
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Name | DARIUSZ MURAT
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Credential |
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Telephone | 847-293-7412
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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 |
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License Number State |
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