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NPI Code Detail

MEDICARE: ABCARE CLINICS & SERVICES, LTD

MEDICARE: ABCARE CLINICS & SERVICES, LTD
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 Therapist070-006980IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
104932288OTHERBCBS

General Provider Information

NPI Number : 1225283237
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABCARE CLINICS & SERVICES, LTD
Provider Business Mailing Address
First Line : 706 PINTAIL CT
Second Line :
City : DEERFIELD
State : IL
Zip : 60015-3645
Country : US
Telephone Number : 773-631-4849
Fax Number : 847-537-7473
Provider Business Practice Location Address
First Line : 6211 N MILWAUKEE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60646-3730
Country : US
Telephone Number : 773-631-4849
Fax Number : 773-631-4839
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : MR. ANDRZEJ DZIK
Credential :
Telephone Number : 773-255-5489
Provider Enumeration Date : 11/19/2008
Last Update Date : 09/02/2009

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Directions to “ABCARE CLINICS & SERVICES, LTD ” Practice Location

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