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NPI Code Detail

MEDICARE: JENNIFER CARLOTTI DPT

MEDICARE: JENNIFER CARLOTTI 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 Therapist070022718IL

General Provider Information

NPI Number : 1538512413
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER CARLOTTI DPT
Provider Business Mailing Address
First Line : 600 OAKMONT LN
Second Line : STE 600C
City : WESTMONT
State : IL
Zip : 60559-5548
Country : US
Telephone Number : 630-575-1981
Fax Number : 630-928-5081
Provider Business Practice Location Address
First Line : 1733 N RICHMOND RD
Second Line :
City : MCHENRY
State : IL
Zip : 60051-5413
Country : US
Telephone Number : 815-385-0730
Fax Number : 815-385-0572
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2016
Last Update Date : 10/03/2018

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Directions to “ JENNIFER CARLOTTI DPT” Practice Location

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