Jack Chodzen is a Physical Therapist in Chicago, Illinois. Jack Chodzen practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jack Chodzen is 1376553628. The last update date is 2008-01-02.
Jack Chodzen's current location address is 2651 N Laramie Ave, Chicago, Illinois. You can contact this provider via phone number 7737450391 and fax number 7737453506. The mailing address for Jack Chodzen is 2651 N Laramie Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Chodzen |
|---|---|
| Address | 2651 N Laramie Ave, Chicago, Illinois |
| Phone Number | 7737450391 |
| Fax Number | 7737453506 |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1376553628 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2008-01-02 |
Provider Mailing Address Detail
| Address | 2651 N Laramie Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606391613 |
| Phone Number | 7737450391 |
| Fax Number | 7737453506 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1627212 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Jack Chodzen by the Centers for Medicare & Medicaid Services?
The Jack Chodzen has been assigned the NPI (National Provider Identifier) 1376553628. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jack Chodzen's facilities are situated?
The facilities of Jack Chodzen are physically located at the following address: 2651 N Laramie Ave, Chicago, IL, 606391613.
What is Jack Chodzen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jack Chodzen is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1376553628 to Jack Chodzen?
The Jack Chodzen received its 1376553628 assignment from the Centers for Medicare & Medicaid Services on 2006-08-09.
When was the Jack Chodzen's information last updated?
The Jack Chodzen's information was last updated on 2008-01-02.