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NPI Code Detail

MEDICARE: JEANINE FREEBERG PT

MEDICARE:   JEANINE  FREEBERG  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist70010876IL

General Provider Information

NPI Number : 1033238191
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANINE FREEBERG PT
Provider Business Mailing Address
First Line : 10501 S SAINT LOUIS AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60655-2528
Country : US
Telephone Number : 773-531-4350
Fax Number :
Provider Business Practice Location Address
First Line : 10501 S SAINT LOUIS AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60655-2528
Country : US
Telephone Number : 773-531-4350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 01/14/2021

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Directions to “ JEANINE FREEBERG PT” Practice Location

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