MEDICARE: LUIS IGNACIO SANCHEZ

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	070.027957	IL

General Provider Information

NPI Number	:	1275387425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUIS IGNACIO SANCHEZ

Provider Business Mailing Address
First Line	:	225 S SANGAMON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-3196
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 E BENTON PL STE 108
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-7411
Country	:	US
Telephone Number	:	312-929-3646
Fax Number	:

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

Provider Enumeration Date	:	04/15/2024
Last Update Date	:	04/15/2024

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Directions to “ LUIS IGNACIO SANCHEZ ” Practice Location

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