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NPI Code Detail

MEDICARE: MINGXIAN TIAN PT, DPT

MEDICARE: MINGXIAN TIAN PT, 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 Therapist070.026663IL

General Provider Information

NPI Number : 1124986591
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINGXIAN TIAN PT, DPT
Provider Business Mailing Address
First Line : 1620 W HARRISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3801
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1620 W HARRISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3801
Country : US
Telephone Number : 312-340-1174
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ MINGXIAN TIAN PT, DPT” Practice Location

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