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NPI Code Detail

MEDICARE: KIMBERLY DEMUN DPT

MEDICARE: KIMBERLY DEMUN DPT
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 Therapist070.022552IL

General Provider Information

NPI Number : 1073067716
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY DEMUN DPT
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 : 1226 S CANAL ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-5213
Country : US
Telephone Number : 312-733-8958
Fax Number : 312-733-9447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2016
Last Update Date : 04/21/2026

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Directions to “ KIMBERLY DEMUN DPT” Practice Location

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