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NPI Code Detail

MEDICARE: MR. ALPROFEL TIU PT

MEDICARE: MR. ALPROFEL TIU PT
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 Therapist070014818IL

General Provider Information

NPI Number : 1801145396
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALPROFEL TIU PT
Provider Business Mailing Address
First Line : 4931 JARVIS AVE
Second Line :
City : SKOKIE
State : IL
Zip : 60077
Country : US
Telephone Number : 847-868-6068
Fax Number : 847-972-1685
Provider Business Practice Location Address
First Line : 5520 LINCOLN AVE
Second Line :
City : MORTON GROVE
State : IL
Zip : 60053-3416
Country : US
Telephone Number : 847-410-1739
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2012
Last Update Date : 02/09/2015

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