Basic Information
Provider Information
NPI: 1457887416
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARROYO
FirstName: ABIGAIL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 625 ENTERPRISE DR
Address2:  
City: OAK BROOK
State: IL
PostalCode: 605238813
CountryCode: US
TelephoneNumber: 6305751980
FaxNumber:  
Practice Location
Address1: 2820 W ARMITAGE AVE
Address2: SUITE 7
City: CHICAGO
State: IL
PostalCode: 606476317
CountryCode: US
TelephoneNumber: 7733940796
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/11/2017
LastUpdateDate: 08/22/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X070023191ILY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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