MEDICARE: JOHN JAWORSKI

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	2251X0800X	Orthopedic Physical Therapist	070029426	IL
2	2251X0800X	Orthopedic Physical Therapist	1407677	TX

General Provider Information

NPI Number	:	1275495160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN JAWORSKI

Provider Business Mailing Address
First Line	:	4S600 RADCLIFF RD
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-1669
Country	:	US
Telephone Number	:	630-640-2337
Fax Number	:	630-640-2337

Provider Business Practice Location Address
First Line	:	4S600 RADCLIFF RD
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-1669
Country	:	US
Telephone Number	:	630-640-2337
Fax Number	:	630-640-2337

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

Provider Enumeration Date	:	11/29/2025
Last Update Date	:	12/02/2025

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