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MARENGO PHYSICAL THERAPY INC. NPI 1609444165


NPI Information

NPI: 1609444165
Provider Name: MARENGO PHYSICAL THERAPY, INC.

Doing Business As: CORA PHYSICAL THERAPY - FOX LAKE

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
145 SAYTON RD STE F
FOX LAKE, IL
ZIP 60020
Phone: (847) 629-5536
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MARENGO PHYSICAL THERAPY, INC. is a rehabilitation clinic center in Fox Lake, IL. MARENGO PHYSICAL THERAPY, INC. NPI is 1609444165. The provider is registered as an organization entity type.
The provider Is Doing Business As Cora Physical Therapy - Fox Lake.

The provider's business location address is:

145 SAYTON RD STE F
FOX LAKE, IL
ZIP 60020-773
Phone: (847) 629-5536
Fax: (419) 222-0507

The provider's authorized official is Stephen Krzyminski .
The authorized official title is Executive Vice President and has the following contact phone number (419) 221-6717.

The enumeration date for this NPI number is 6/11/2021 and was last updated on 9/26/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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