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NPI Code Detail

MEDICARE: JAYAH WELLNESS PLLC

MEDICARE: JAYAH WELLNESS PLLC
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1386447381
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAYAH WELLNESS PLLC
Provider Business Mailing Address
First Line : 2012 W SAINT PAUL AVE APT 409
Second Line :
City : CHICAGO
State : IL
Zip : 60647-5573
Country : US
Telephone Number :
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 : 818-795-8781
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : JAYAH HASSON
Credential :
Telephone Number : 818-795-8781
Provider Enumeration Date : 03/27/2025
Last Update Date : 11/19/2025

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Directions to “JAYAH WELLNESS PLLC ” Practice Location

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