MEDICARE: JASON ADAM WENTWORTH PT

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	225100000X	Physical Therapist	05006951A	IN
2	225100000X	Physical Therapist		IL

General Provider Information

NPI Number	:	1851310577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON ADAM WENTWORTH PT

Provider Business Mailing Address
First Line	:	2149 W BERWYN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-1108
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1030 W CHICAGO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-5671
Country	:	US
Telephone Number	:	312-243-1574
Fax Number	:

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1053438069 — SCOTT A COLE M.D.
Practice Location Address:

1030 W CHICAGO AVE
CHICAGO, IL
60622-5671

Practice Phone: 312-243-1574
Practice Fax: 312-243-1698

1659220069 — BONNAVENTURE I OGU
Practice Location Address:

4554 N BROADWAY ST STE 218
CHICAGO, IL
60640-5671

Practice Phone: 773-554-2490
Practice Fax:

1861401648 — OCCUPATIONAL HEALTH CENTERS OF ILLINOIS PC
Practice Location Address:

1030 W CHICAGO AVE
CHICAGO, IL
60642-5671

Practice Phone: 312-243-1574
Practice Fax: 312-243-1698

1902098742 — AMERICAN CURRENT CARE OF ILLINOIS PC
Practice Location Address:

1030 W CHICAGO AVE
CHICAGO, IL
60642-5671

Practice Phone: 312-243-1574
Practice Fax: 312-243-1698

1952742645 — AMERICAN CURRENT CARE OF ILLINOIS PC
Practice Location Address:

1030 W CHICAGO AVE
CHICAGO, IL
60642-5671

Practice Phone: 312-243-1574
Practice Fax: 312-243-1698

1073954384 — OCCUPATIONAL HEALTH CENTERS OF ILLINOIS PC
Practice Location Address:

1030 W CHICAGO AVE
CHICAGO, IL
60642-5671

Practice Phone: 312-243-1574
Practice Fax: 214-775-4502

Directions to “ JASON ADAM WENTWORTH PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.