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MR. MARK WILDEBOER PT, DPT, OCS
NPI 1225387343
Physical Therapist - Orthopedic in Chicago, IL

Active since September 05, 2012
1401 S. CALIFORNIA BLVD, CHICAGO, IL 60608(773) 522-2010 Get Directions Write a Review

NPPES record last updated: September 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mark Wildeboer Pt, Dpt, Ocs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK WILDEBOER PT, DPT, OCS (NPI 1225387343) is an individual orthopedic provider in Chicago, Illinois, licensed in Illinois (070015786) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1225387343
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameMR. MARK WILDEBOERCredential: PT, DPT, OCS
Location Address1401 S. CALIFORNIA BLVDChicago, IL 60608
Mailing Address1401 S. California BlvdChicago, IL 60608 · (773) 522-2010
Phone(773) 522-2010
Sole ProprietorNo
Enumeration DateSeptember 5, 2012
✔ NPI 1225387343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in IL · 070015786
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
1401 S. CALIFORNIA BLVD, Chicago, IL 60608
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MEGAN ELIZABETH HANRAHAN M.S., CCC-SLP
Speech-Language Pathologist
1401 S. CALIFORNIA BLVD
CHICAGO, IL 60608
Cook County (773) 522-2010
MS. JEANNETTE JOVAN KRUBEL OTR/L
Occupational Therapist
1401 S. CALIFORNIA BLVD
CHICAGO, IL 60608
Cook County (773) 522-2010
MRS. VELMA JAYNE WALTERS P.T.
Physical Therapist
1401 S. CALIFORNIA BLVD
CHICAGO, IL 60608
Cook County (773) 522-2010
SUSANNE YUKO BEAL MA, CCC-SLP
Speech-Language Pathologist
1401 S. CALIFORNIA BLVD
CHICAGO, IL 60608
Cook County (773) 522-2010
RACHEL FRANCIS
Occupational Therapist
1401 S. CALIFORNIA BLVD
CHICAGO, IL 60608
Cook County (773) 522-2010
ALISA J WINOWIECKI PT, DPT
Physical Therapist
1401 S. CALIFORNIA BLVD
CHICAGO, IL 60608
Cook County (773) 522-2010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Wildeboer's NPI number?

The NPI number for Mark Wildeboer is 1225387343. It was assigned to this individual provider in the NPPES registry on September 5, 2012.

Where is Mark Wildeboer located?

Mark Wildeboer practices at 1401 S. California Blvd, Chicago, IL 60608. The listed phone number is (773) 522-2010.

What is Mark Wildeboer's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Mark Wildeboer was last updated on September 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.