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NPI Code Detail

MEDICARE: JOHN DIGGLE PT

MEDICARE: JOHN DIGGLE 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 TherapistIL

General Provider Information

NPI Number : 1568496693
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN DIGGLE PT
Provider Business Mailing Address
First Line : 1860 PAYSPHERE CIR
Second Line :
City : CHICAGO
State : IL
Zip : 60674-0018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1948 THREE FARMS AVE
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-1105
Country : US
Telephone Number : 630-547-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 07/08/2007

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