MEDICARE: KURT LANGMEYER

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
1	225100000X	Physical Therapist	070.027760	IL

General Provider Information

NPI Number	:	1083493001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KURT LANGMEYER

Provider Business Mailing Address
First Line	:	1600 W GRANVILLE AVE APT 3E
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-1296
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7238 N HARLEM AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-4335
Country	:	US
Telephone Number	:	773-657-3897
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2023
Last Update Date	:	09/28/2023

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Directions to “ KURT LANGMEYER ” Practice Location

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