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Organization

MEREDY PARKER PHYSICAL THERAPY, LLC

Active
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Organization

MEREDY PARKER PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MEREDY A PARKER PT, DPT (MANAGER/PHYSICAL THERAPIST)
(773) 368-6176
Entity
Organization

Contact information

Practice address
3717 N RAVENSWOOD AVE, SUITE 213, CHICAGO, IL 60613-3880
(773) 368-6176
Mailing address
1450 W HUTCHINSON ST, CHICAGO, IL 60613-1312
(773) 368-6176

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070009700
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL3239
MEDICARE PTAN
IL
Enumeration date
05/23/2013
Last updated
05/23/2013
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