Oscar Jacome DPT

NPI 1194060608 - Physical Therapist - 225100000X

NPI Details
NPI 1194060608
Gender Male
Enumeration Date 12/10/2012
Last Updated 12/10/2012
Entity Type Individual
Active Over 3 years ago
Practice Location
2837 W IRVING PARK RD
CHICAGO IL, 60618-3624, US
Phone (773) 463-0249
Fax (773) 463-0733
Business Location
2837 W IRVING PARK RD
CHICAGO IL, 60618-3624, US
Phone (773) 463-0249
Fax (773) 463-0733
Toxanomy
Taxonomy Code 225100000X
License State Illinois
License Number 070-019596
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According to our database, Oscar Jacome DPT NPI is 1194060608, taxonomy code is 225100000X and license number is 070-019596, license state is located at Illinois. Oscar Jacome DPT physically located at 2837 W Irving Park Rd, Chicago IL, 60618-3624. NPI Number Oscar Jacome DPT has the Individual type.

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1194060608 NPI number is provided on an as is basis without warranty of any kind. 1194060608 is maintained by the National Plan & Provider Enumeration System. The contents of Oscar Jacome DPT are for informational purposes only.