MEDICARE: JAYAH HASSON DPT

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
1	225100000X	Physical Therapist	070027946	IL

General Provider Information

NPI Number	:	1033988282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYAH HASSON DPT

Provider Business Mailing Address
First Line	:	3620 N LINCOLN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-3516
Country	:	US
Telephone Number	:	818-795-8781
Fax Number	:

Provider Business Practice Location Address
First Line	:	3620 N LINCOLN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-3516
Country	:	US
Telephone Number	:	312-877-5881
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2023
Last Update Date	:	11/19/2025

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Directions to “ JAYAH HASSON DPT” Practice Location

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