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NPI Code Detail

MEDICARE: MR. MARC A. CECCHINI P.T.

MEDICARE: MR. MARC A. CECCHINI 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
12251X0800XOrthopedic Physical TherapistIL

General Provider Information

NPI Number : 1487844429
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARC A. CECCHINI P.T.
Provider Business Mailing Address
First Line : 5540 W 111TH ST
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-5574
Country : US
Telephone Number : 708-422-1311
Fax Number : 708-422-1812
Provider Business Practice Location Address
First Line : 5540 W 111TH ST
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-5574
Country : US
Telephone Number : 708-422-1311
Fax Number : 708-422-1812
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2007
Last Update Date : 07/26/2007

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