Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mark Wildeboer, PT, DPT, OCS

Individual provider Orthopedic Physical Therapist · NPI 1225387343

Mr. Mark Wildeboer, PT, DPT, OCS is an Orthopedic Physical Therapist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1401 S California Blvd
Chicago, IL 60608
Phone: (773) 522-2010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 070015786 (IL)

Record details

NPI number1225387343
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , OCS
Sole proprietorNo
NPI enumeratedSeptember 5, 2012
Last updated in NPPESSeptember 5, 2012

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