Healthcare Provider Details

I. General information

NPI: 1396665386
Provider Name (Legal Business Name): JHARNA ASHWIN PASTAGIA DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 N MILWAUKEE AVE STE 16
NILES IL
60714-3165
US

IV. Provider business mailing address

9144 HOLLYBERRY AVE
DES PLAINES IL
60016-4218
US

V. Phone/Fax

Practice location:
  • Phone: 847-410-3100
  • Fax: 847-410-3101
Mailing address:
  • Phone: 224-628-2920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070027643
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: