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NPI Code Detail

MEDICARE: MS. KRISTINE M CHASE PT

MEDICARE: MS. KRISTINE M CHASE 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 TherapistIL

General Provider Information

NPI Number : 1831227750
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KRISTINE M CHASE PT
Provider Business Mailing Address
First Line : 7530 GLADSTONE DR UNIT 102
Second Line :
City : NAPERVILLE
State : IL
Zip : 60565-1127
Country : US
Telephone Number : 401-263-1375
Fax Number :
Provider Business Practice Location Address
First Line : 1804 CENTRE POINT CIR STE 102
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-4849
Country : US
Telephone Number : 630-955-1940
Fax Number : 630-955-1944
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 07/08/2007

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