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NPI Code Detail

MEDICARE: AARON ILKEE PARK DPT

MEDICARE:   AARON ILKEE PARK  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 TherapistPT60102182WA

General Provider Information

NPI Number : 1992033104
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON ILKEE PARK 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 : 866-370-8206
Fax Number : 517-435-3670
Provider Business Practice Location Address
First Line : 13020 MERIDIAN AVE S STE 300
Second Line :
City : EVERETT
State : WA
Zip : 98208-6468
Country : US
Telephone Number : 425-582-5524
Fax Number : 425-286-8429
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2009
Last Update Date : 07/03/2025

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Directions to “ AARON ILKEE PARK DPT” Practice Location

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