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NPI Code Detail

MEDICARE: DONNA JOAN A ALVAREZ P.T.

MEDICARE: DONNA JOAN A ALVAREZ P.T.
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 Therapist070-014803IL

General Provider Information

NPI Number : 1053426262
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA JOAN A ALVAREZ P.T.
Provider Business Mailing Address
First Line : 15430 WEST AVE
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-4661
Country : US
Telephone Number : 708-460-5494
Fax Number : 708-226-2528
Provider Business Practice Location Address
First Line : 15430 WEST AVE
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-4661
Country : US
Telephone Number : 708-460-5494
Fax Number : 708-226-2528
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 12/03/2021

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