Healthcare Provider Details

I. General information

NPI: 1205203494
Provider Name (Legal Business Name): JOSEPH RAYMOND ASCHER PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2015
Last Update Date: 08/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 N SOUTHPORT AVE
CHICAGO IL
60657-6945
US

IV. Provider business mailing address

2929 N SOUTHPORT AVE
CHICAGO IL
60657-6945
US

V. Phone/Fax

Practice location:
  • Phone: 773-665-9950
  • Fax:
Mailing address:
  • Phone: 773-665-9950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070021618
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: