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NPI Code Detail

MEDICARE: CONCIERGE PHYSICAL THERAPY LTD.

MEDICARE: CONCIERGE PHYSICAL THERAPY LTD.
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
1261QP2000XPhysical Therapy Clinic/Center070.009689IL

General Provider Information

NPI Number : 1871912584
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONCIERGE PHYSICAL THERAPY LTD.
Provider Business Mailing Address
First Line : 444 N YORK ST
Second Line :
City : ELMHURST
State : IL
Zip : 60126-5512
Country : US
Telephone Number : 773-824-6540
Fax Number : 630-563-1743
Provider Business Practice Location Address
First Line : 444 N YORK ST
Second Line :
City : ELMHURST
State : IL
Zip : 60126-5512
Country : US
Telephone Number : 773-824-6540
Fax Number : 630-563-1743
Authorized Official
Title or Position : PRESIDENT
Name : MS. KATHERINE TRUMAN
Credential : PHYSICAL THERAPIST
Telephone Number : 773-824-6540
Provider Enumeration Date : 04/09/2014
Last Update Date : 04/09/2014

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Directions to “CONCIERGE PHYSICAL THERAPY LTD. ” Practice Location

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