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NPI Code Detail

MEDICARE: SEAN MCNAMEE DPT

MEDICARE:   SEAN  MCNAMEE  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 Therapist070022491IL

General Provider Information

NPI Number : 1992151708
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN MCNAMEE DPT
Provider Business Mailing Address
First Line : 625 ENTERPRISE DR
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-8813
Country : US
Telephone Number : 630-575-6200
Fax Number :
Provider Business Practice Location Address
First Line : 7474 E STATE ST
Second Line : SUITE 118
City : ROCKFORD
State : IL
Zip : 61108-2644
Country : US
Telephone Number : 815-397-4439
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2016
Last Update Date : 08/18/2016

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