MEDICARE: CHRISTOPHER OLTMANS

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
1	225100000X	Physical Therapist	070014726	IL

General Provider Information

NPI Number	:	1235361122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER OLTMANS

Provider Business Mailing Address
First Line	:	1137 W ADDISON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-3805
Country	:	US
Telephone Number	:	773-263-4864
Fax Number	:

Provider Business Practice Location Address
First Line	:	1137 W ADDISON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-3805
Country	:	US
Telephone Number	:	773-263-4864
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2009
Last Update Date	:	08/11/2009

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Directions to “ CHRISTOPHER OLTMANS ” Practice Location

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