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Contact Information

JIMMY DAPOG
628 ILLINOIS ST
LITCHFIELD, IL62056
 Phone: 217-324-2153
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JIMMY DAPOG · (Male)

NPI Number 1164780185
Status Active
Credentials
Entity Individual
Enumeration date 04/27/2012
Last updated 04/27/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 070007758
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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