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NPI Code Detail

MEDICARE: MADELINE MCHALE DPT

MEDICARE:   MADELINE  MCHALE  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 Therapist070.022460IL

General Provider Information

NPI Number : 1740734409
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELINE MCHALE DPT
Provider Business Mailing Address
First Line : 790 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4909
Country : US
Telephone Number : 630-296-2223
Fax Number : 630-759-9510
Provider Business Practice Location Address
First Line : 4620 N CLARK ST
Second Line :
City : CHICAGO
State : IL
Zip : 60640-4620
Country : US
Telephone Number : 773-728-2690
Fax Number : 773-728-2692
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2016
Last Update Date : 08/05/2019

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Directions to “ MADELINE MCHALE DPT” Practice Location

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