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NPI 1982825535

NPI 1982825535 : RICHARD F LIGMAN PT : BOLINGBROOK, IL

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General NPI Number Information
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    NPI Number           |    1982825535
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD F LIGMAN PT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/01/2007
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    Last Update Date     |    03/25/2016
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Provider Practice Location Address
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    Address Line         |    790 REMINGTON BLVD 
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    City                 |    BOLINGBROOK
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    State                |    IL
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    Zip                  |    60440-4909
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    Country              |    US
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    Telephone            |    630-296-2223
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    Fax                  |    630-759-9510
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Provider Business Mailing Address
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    Address Line         |    1515 N TELEGRAPH RD 
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    City                 |    MONROE
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    State                |    MI
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    Zip                  |    48162-5139
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    Country              |    US
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    Telephone            |    734-242-4866
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    Fax                  |    734-242-3559
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    PT.014053
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    5501017629
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    License Number State |    MI
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