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NPI Code Detail

MEDICARE: RITA MACE DPT

MEDICARE:   RITA  MACE  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
12255A2300XAthletic Trainer2093AL
2225100000XPhysical TherapistPTH9377AL

General Provider Information

NPI Number : 1861993610
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITA MACE DPT
Provider Business Mailing Address
First Line : 2001 BUTTERFIELD RD STE 1600
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-1211
Country : US
Telephone Number : 630-296-2222
Fax Number :
Provider Business Practice Location Address
First Line : 833 SAINT VINCENTS DR UNIT 1
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35205-1606
Country : US
Telephone Number : 205-730-3190
Fax Number : 205-666-7170
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2018
Last Update Date : 01/22/2026

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