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NPI Code Detail

MEDICARE: EMILY O'SHEA DPT

MEDICARE:   EMILY  O'SHEA  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
1225100000XPhysical Therapist070025175IL

General Provider Information

NPI Number : 1982217634
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY O'SHEA DPT
Provider Business Mailing Address
First Line : 755 ELA RD STE A
Second Line :
City : LAKE ZURICH
State : IL
Zip : 60047-2412
Country : US
Telephone Number : 847-320-0200
Fax Number :
Provider Business Practice Location Address
First Line : 755 ELA RD STE A
Second Line :
City : LAKE ZURICH
State : IL
Zip : 60047-2412
Country : US
Telephone Number : 847-320-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2020
Last Update Date : 08/02/2024

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Directions to “ EMILY O'SHEA DPT” Practice Location

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