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NPI Code Detail

MEDICARE: DOMENICO ROMOZZI

MEDICARE: DOMENICO ROMOZZI
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
1225X00000XOccupational Therapist056-014671IL

General Provider Information

NPI Number : 1720731789
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMENICO ROMOZZI
Provider Business Mailing Address
First Line : 900 RAND RD STE 300
Second Line :
City : DES PLAINES
State : IL
Zip : 60016-2359
Country : US
Telephone Number : 847-324-3976
Fax Number : 847-929-1154
Provider Business Practice Location Address
First Line : 4700 GILBERT AVE STE 51
Second Line :
City : WESTERN SPRINGS
State : IL
Zip : 60558-1664
Country : US
Telephone Number : 708-387-1750
Fax Number : 708-387-1751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2022
Last Update Date : 01/31/2022

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Directions to “ DOMENICO ROMOZZI ” Practice Location

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