MS. SANDRA MARIA DE JESUS


Address: 3630 N. Harlem Avenue, 214, Chicago, IL 60634-3194
Phone: 7738484846

MS. SANDRA MARIA DE JESUS (NPI# 1326352899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326352899
Entity Type Individual
Full Name MS. SANDRA MARIA DE JESUS
Credential PT,DPT
Practice Address 3630 N. Harlem Avenue
214
Chicago
IL 60634-3194
Practice Telephone 7738484846
Mailing Telephone 7738484846
Enumeration Date 2010-07-27
Last Update Date 2010-07-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251P0200X Physical Therapist
Specialization: Pediatrics
070015855 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

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Office Location

Street Address 3630 N. HARLEM AVENUE
214
City CHICAGO
State IL
Zip Code 60634-3194

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Taxonomy Information

Taxonomy Code 2251P0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1669915674 Anna's Pediatric Physical Therapy LLC Physical Therapist 2120 W Armitage Ave, Unit 1, Chicago, IL 60647-4516 2016-11-22
1669840005 Kateland Hojnacki Physical Therapist 431 W Belden Ave, C203, Chicago, IL 60614-3867 2015-09-02
1033522362 Starting Smart LLC Physical Therapist 3359 N Seminary Ave # 1, Chicago, IL 60657-2220 2014-06-04
1770996159 Sydney Steininger Physical Therapist 2315 N Leavitt St, Apt 3r, Chicago, IL 60647-3273 2014-06-03
1184989964 Debra Renae Nickoli Physical Therapist 401 E Ontario St Apt 4003, Chicago, IL 60611-4443 2012-07-09
1528384971 New City Therapy, Inc. Physical Therapist 2644 W Cermak Rd, Chicago, IL 60608-3515 2010-04-09
1104056571 Abbey Louise Melling Physical Therapist 1 W Superior St, Apt. 908, Chicago, IL 60654-8803 2009-07-20
1447476684 Colleen Hicks Physical Therapist 947 N Leavitt St Apt 3, Chicago, IL 60622-7059 2007-04-17
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Competitor

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City CHICAGO
Zip Code 60634

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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