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NPI Code Detail

MEDICARE: PAULINE BARRY DPT

MEDICARE: PAULINE BARRY DPT
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 Therapist070015675IL

General Provider Information

NPI Number : 1740301365
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULINE BARRY DPT
Provider Business Mailing Address
First Line : 600 OAKMONT LN STE 600C
Second Line :
City : WESTMONT
State : IL
Zip : 60559-5548
Country : US
Telephone Number : 630-575-1981
Fax Number : 630-928-5081
Provider Business Practice Location Address
First Line : 24 S MORGAN ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-3668
Country : US
Telephone Number : 312-421-7274
Fax Number : 312-421-7289
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 02/01/2018

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Directions to “ PAULINE BARRY DPT” Practice Location

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