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NPI Code Detail

MEDICARE: MS. GLORIA AURORA ALLAS PHYSICAL THERAPIST

MEDICARE:  MS. GLORIA AURORA ALLAS  PHYSICAL THERAPIST
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 Therapist070019570IL

General Provider Information

NPI Number : 1760967327
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GLORIA AURORA ALLAS PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 1183 JOHNSON DR APT 2812
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-6955
Country : US
Telephone Number : 872-484-3700
Fax Number :
Provider Business Practice Location Address
First Line : 1183 JOHNSON DR APT 2812
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-6955
Country : US
Telephone Number : 872-484-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2018
Last Update Date : 09/30/2018

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Directions to “ MS. GLORIA AURORA ALLAS PHYSICAL THERAPIST” Practice Location

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