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NPI Code Detail

MEDICARE: JERRAMY TSANG PT, DPT

MEDICARE:   JERRAMY  TSANG  PT, 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
1225100000XPhysical Therapist070028701IL

General Provider Information

NPI Number : 1245038033
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERRAMY TSANG PT, DPT
Provider Business Mailing Address
First Line : 3635 N WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-4714
Country : US
Telephone Number : 630-933-1500
Fax Number : 630-933-1550
Provider Business Practice Location Address
First Line : 3635 N WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-4714
Country : US
Telephone Number : 630-933-1500
Fax Number : 630-933-1550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2025
Last Update Date : 12/03/2025

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Directions to “ JERRAMY TSANG PT, DPT” Practice Location

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