MEDICARE: NANCY ANN PEPE 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
1	225100000X	Physical Therapist		IL

General Provider Information

NPI Number	:	1942253554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY ANN PEPE PT

Provider Business Mailing Address
First Line	:	1327 N CHESTNUT AVE
Second Line	:
City	:	ARLINGTON HTS
State	:	IL
Zip	:	60004-4634
Country	:	US
Telephone Number	:	847-255-5648
Fax Number	:	847-255-5648

Provider Business Practice Location Address
First Line	:	1327 N CHESTNUT AVE
Second Line	:
City	:	ARLINGTON HTS
State	:	IL
Zip	:	60004-4634
Country	:	US
Telephone Number	:	847-255-5648
Fax Number	:	847-255-5648

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

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	07/08/2007

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Directions to “ NANCY ANN PEPE PT” Practice Location

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