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NPI Code Detail

MEDICARE: PTSIR INDUSTRIAL REHABILITATION

MEDICARE: PTSIR INDUSTRIAL REHABILITATION
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 Therapist
2225X00000XOccupational Therapist
32255A2300XAthletic Trainer

General Provider Information

NPI Number : 1669591889
Entity Type Code : Organization
Provider Name (Legal Business Name) : PTSIR INDUSTRIAL REHABILITATION
Provider Business Mailing Address
First Line : 13114 WESTERN AVE
Second Line :
City : BLUE ISLAND
State : IL
Zip : 60406-2439
Country : US
Telephone Number : 708-824-0515
Fax Number : 708-824-0517
Provider Business Practice Location Address
First Line : 13114 WESTERN AVE
Second Line :
City : BLUE ISLAND
State : IL
Zip : 60406-2439
Country : US
Telephone Number : 708-824-0515
Fax Number : 708-824-0517
Authorized Official
Title or Position : OWNER
Name : GREGORY WALTER KAUMEYER
Credential : P.T.
Telephone Number : 708-335-1415
Provider Enumeration Date : 03/28/2007
Last Update Date : 09/11/2025

Similar Medicare Providers

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1376658161 — MR. RONALD FRANK AGRIGENTO P.T., A.T.C.
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1992810725 — MS. JEAN CHENOWETH P.T.A.
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60406-2439
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1760520217 — MR. DAVID CZARNECKI PTA
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1114169745 — MEYER EYECARE INC
Practice Location Address:
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Directions to “PTSIR INDUSTRIAL REHABILITATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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