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NPI Code Detail

MEDICARE: JESSICA KAUFMAN

MEDICARE: JESSICA KAUFMAN
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 Therapist070028479IL

General Provider Information

NPI Number : 1194661504
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA KAUFMAN
Provider Business Mailing Address
First Line : 507 AUTUMN AVE SE
Second Line :
City : NEW PRAGUE
State : MN
Zip : 56071-3805
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3021 N SHEFFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-4419
Country : US
Telephone Number : 773-296-7450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 04/27/2026

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Directions to “ JESSICA KAUFMAN ” Practice Location

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