Unknown Individual – Physical Therapist, NPI 1790955490
Physical Therapist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
205 W WACKER DR
SUITE 1020
CHICAGO, IL 606061216
Phone: (312) 640-0329
Type: Mailing
81, East Queenwood Road, Morton, Tazewell County, Illinois, 61550, United States
MORTON, IL 615502950
Phone: (309) 266-9757
Fax: (306) 266-9769
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60606)
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