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NPI Code Detail

MEDICARE: MRS. ANN T FLANAGAN P.T.

MEDICARE: MRS. ANN T FLANAGAN P.T.
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 Therapist070-004000IL

General Provider Information

NPI Number : 1225040850
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANN T FLANAGAN P.T.
Provider Business Mailing Address
First Line : 1036 N LOMBARD AVE
Second Line :
City : OAK PARK
State : IL
Zip : 60302-1435
Country : US
Telephone Number : 708-524-5250
Fax Number :
Provider Business Practice Location Address
First Line : 2211 N OAK PARK AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60707-3351
Country : US
Telephone Number : 773-385-5574
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 11/22/2010

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Directions to “ MRS. ANN T FLANAGAN P.T.” Practice Location

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