MEDICARE: ANJALI VERMA

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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1831268481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANJALI VERMA

Provider Business Mailing Address
First Line	:	1805 HARCOURT DR
Second Line	:
City	:	WOODRIDGE
State	:	IL
Zip	:	60517-4620
Country	:	US
Telephone Number	:	630-985-8544
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 E HURON ST STE 9-105
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2980
Country	:	US
Telephone Number	:	312-926-3700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	07/08/2007

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Directions to “ ANJALI VERMA ” Practice Location

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