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NPI Code Detail

MEDICARE: DR. GINA MOTTIER D.N.

MEDICARE: DR. GINA MOTTIER D.N.
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
1225400000XRehabilitation PractitionerIL

General Provider Information

NPI Number : 1205997400
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GINA MOTTIER D.N.
Provider Business Mailing Address
First Line : 3223 N HARLEM AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60634-4502
Country : US
Telephone Number : 773-968-9402
Fax Number :
Provider Business Practice Location Address
First Line : 3223 N HARLEM AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60634-4502
Country : US
Telephone Number : 773-968-9402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 07/08/2007

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Directions to “ DR. GINA MOTTIER D.N.” Practice Location

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