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Nathan S Rosendale, PT, DPT

Physical Therapist in Flossmoor, IL. Individual provider (NPI-1).

NPI number1982431029
StatusActive
Last updated in NPPESSep 9, 2025

Details

NPI
1982431029
Entity type
Individual (NPI-1)
Name
Nathan S Rosendale
Credential
PT, DPT
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 13, 2024
Certification date
Sep 9, 2025
Last updated
Sep 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist070.028672ILYes

Practice location

19550 Governors Hwy Ste 1500
Flossmoor, IL 60422-2125

Phone 708-915-6643

Mailing address

19550 Governors Hwy Ste 1500
Flossmoor, IL 60422-2125

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