Wirth, Scott M

Wirth, Scott M is an individual health care provider with primary practice located at 635 Executive Dr , Willowbrook IL 60527-5603. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wirth, Scott M can be contacted via phone (630) 455-6630.

Contact Information

Primary practice address
635 Executive Dr Willowbrook IL 60527-5603
Phone: (630) 455-6630
Fax: (630) 455-6631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-015955 Illinois

Profile Details

NPI number 1053516088
LBN Legal business name Wirth, Scott M
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated May 27th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053516088 NPPES
Illinois Other P00915453 MEDICARE RAILROAD

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