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NPI Code Detail

MEDICARE: STEVEN FERRIS P.T.

MEDICARE: STEVEN FERRIS 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 Therapist070.006093IL

General Provider Information

NPI Number : 1255759056
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN FERRIS P.T.
Provider Business Mailing Address
First Line : 1134 W GRANVILLE AVE
Second Line : APT 710
City : CHICAGO
State : IL
Zip : 60660-5046
Country : US
Telephone Number : 773-965-4890
Fax Number :
Provider Business Practice Location Address
First Line : 929 W FOSTER AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60640-1491
Country : US
Telephone Number : 773-965-4890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2014
Last Update Date : 04/08/2021

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