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NPI Code Detail

MEDICARE: MRS. MARIA ARCE CONSOLO PT

MEDICARE: MRS. MARIA ARCE CONSOLO 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
1174400000XSpecialist015304NY
2225100000XPhysical Therapist015304NY
3225100000XPhysical TherapistNV

General Provider Information

NPI Number : 1053509661
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA ARCE CONSOLO PT
Provider Business Mailing Address
First Line : 2001 BUTTERFIELD RD STE 1600
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-1211
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4370 BLUE DIAMOND RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-7787
Country : US
Telephone Number : 702-443-9301
Fax Number : 702-342-0600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2007
Last Update Date : 02/11/2025

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Directions to “ MRS. MARIA ARCE CONSOLO PT” Practice Location

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