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NPI Code Detail

MEDICARE: SHELLY SHIHHSIEN WU PT, DPT

MEDICARE:   SHELLY SHIHHSIEN WU  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 TherapistPT029483PA
2225100000XPhysical Therapist035642NY
3225100000XPhysical Therapist070027098IL

General Provider Information

NPI Number : 1144626664
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLY SHIHHSIEN WU PT, DPT
Provider Business Mailing Address
First Line : 680 N LAKE SHORE DR STE 830
Second Line :
City : CHICAGO
State : IL
Zip : 60611-8702
Country : US
Telephone Number : 312-926-8811
Fax Number : 312-926-8815
Provider Business Practice Location Address
First Line : 680 N LAKE SHORE DR STE 830
Second Line :
City : CHICAGO
State : IL
Zip : 60611-8702
Country : US
Telephone Number : 312-926-8811
Fax Number : 312-926-8815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2014
Last Update Date : 09/05/2024

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Directions to “ SHELLY SHIHHSIEN WU PT, DPT” Practice Location

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