MEDICARE: DAVID MCCARTNEY PT MS ATCL

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	070013233	IL

General Provider Information

NPI Number	:	1528080157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MCCARTNEY PT MS ATCL

Provider Business Mailing Address
First Line	:	9121 W 159TH ST
Second Line	:	SUITE DRE
City	:	ORLAND HILLS
State	:	IL
Zip	:	60487
Country	:	US
Telephone Number	:	312-437-3305
Fax Number	:	708-403-1177

Provider Business Practice Location Address
First Line	:	9121 W 159TH ST
Second Line	:	SUITE DRE
City	:	ORLAND HILLS
State	:	IL
Zip	:	60487
Country	:	US
Telephone Number	:	708-403-1155
Fax Number	:	708-403-1177

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	10/14/2015

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