MEDICARE: J.O. PHYSIOTHERAPY INC

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	172P00000X	Naprapath

General Provider Information

NPI Number	:	1538036561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J.O. PHYSIOTHERAPY INC

Provider Business Mailing Address
First Line	:	600 N LAKE SHORE DR APT 2102
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-5062
Country	:	US
Telephone Number	:	773-524-7454
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 N LAKE SHORE DR APT 2102
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-5062
Country	:	US
Telephone Number	:	773-524-7454
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAROSLAW OSMIALOWSKI
Credential	:	DN
Telephone Number	:	773-524-7454

Provider Enumeration Date	:	10/23/2025
Last Update Date	:	11/13/2025

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