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NPI Code Detail

MEDICARE: ROBERT JASS

MEDICARE: ROBERT JASS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1033761978
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT JASS
Provider Business Mailing Address
First Line : 600 OAKMONT LN STE 600C
Second Line :
City : WESTMONT
State : IL
Zip : 60559-5548
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 558 W 35TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60616-3532
Country : US
Telephone Number : 773-451-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2019
Last Update Date : 07/11/2019

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Directions to “ ROBERT JASS ” Practice Location

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