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NPI Code Detail

MEDICARE: SHARON MARIE KLUPAR LPTA

MEDICARE: SHARON MARIE KLUPAR LPTA
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
1225200000XPhysical Therapy AssistantIL

General Provider Information

NPI Number : 1346432903
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON MARIE KLUPAR LPTA
Provider Business Mailing Address
First Line : 2592 E GRAND AVE STE 209
Second Line :
City : LINDENHURST
State : IL
Zip : 60046-5915
Country : US
Telephone Number : 847-265-1460
Fax Number : 847-265-1650
Provider Business Practice Location Address
First Line : 424 N RAND RD
Second Line :
City : NORTH BARRINGTON
State : IL
Zip : 60010-1496
Country : US
Telephone Number : 847-756-2680
Fax Number : 847-756-2682
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2007
Last Update Date : 08/16/2007

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Directions to “ SHARON MARIE KLUPAR LPTA” Practice Location

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