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NPI Code Detail

MEDICARE: PHILIP A SHELDON PT

MEDICARE: PHILIP A SHELDON PT
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 Therapist070013439IL

General Provider Information

NPI Number : 1487843835
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP A SHELDON PT
Provider Business Mailing Address
First Line : PO BOX 735263
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5263
Country : US
Telephone Number : 815-398-9491
Fax Number : 815-381-7498
Provider Business Practice Location Address
First Line : 1550 N RANDALL RD
Second Line :
City : ELGIN
State : IL
Zip : 60123-7876
Country : US
Telephone Number : 815-398-9491
Fax Number : 815-381-7498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2007
Last Update Date : 04/14/2025

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Directions to “ PHILIP A SHELDON PT” Practice Location

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