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NPI Code Detail

MEDICARE: ALYSON MARIA KINTSCHER

MEDICARE: ALYSON MARIA KINTSCHER
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
1225200000XPhysical Therapy Assistant160.009758IL

General Provider Information

NPI Number : 1154154482
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSON MARIA KINTSCHER
Provider Business Mailing Address
First Line : 1123 W CHESTNUT ST # 1E
Second Line :
City : CHICAGO
State : IL
Zip : 60642-4297
Country : US
Telephone Number : 808-392-5550
Fax Number :
Provider Business Practice Location Address
First Line : 1111 ONTARIO ST
Second Line :
City : OAK PARK
State : IL
Zip : 60302-1939
Country : US
Telephone Number : 708-383-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2024
Last Update Date : 08/29/2024

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Directions to “ ALYSON MARIA KINTSCHER ” Practice Location

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