Atm | |
1820 W Irving Park Rd, Chicago, IL 60613-2406 | |
(773) 852-3335 | |
(773) 313-3538 |
Full Name | Atm |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 1820 W Irving Park Rd, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053677922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070018357 (Illinois) | Primary |
Provider Name | Daniel Jacobazzi |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396758603 PECOS PAC ID: 4789651936 Enrollment ID: I20120104000716 |
Mailing Address | Practice Location Address |
---|---|
Atm 1820 W Irving Park Rd, Chicago, IL 60613-2406 Ph: (773) 852-3335 | Atm 1820 W Irving Park Rd, Chicago, IL 60613-2406 Ph: (773) 852-3335 |
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