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NPI Code Detail

MEDICARE: ELA DARGIEL P.T.

MEDICARE: ELA DARGIEL 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
1225100000XPhysical Therapist070007524IL

General Provider Information

NPI Number : 1679558308
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELA DARGIEL P.T.
Provider Business Mailing Address
First Line : 909 E PALATINE RD
Second Line :
City : PALATINE
State : IL
Zip : 60074-5551
Country : US
Telephone Number : 847-776-1400
Fax Number : 847-776-1424
Provider Business Practice Location Address
First Line : 909 E PALATINE RD
Second Line :
City : PALATINE
State : IL
Zip : 60074-5551
Country : US
Telephone Number : 847-776-1400
Fax Number : 847-776-1424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2005
Last Update Date : 03/01/2016

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1306821053 — STEPHEN J TALTY M.D.
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1447236179 — SOTERIOS J. SOTER PHD
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Directions to “ ELA DARGIEL P.T.” Practice Location

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