Daniel Jacobazzi (NPI# 1396758603, PAC ID# 4789651936) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1396758603 |
| PAC ID by PECOS | 4789651936 |
| Professional Enrollment ID | I20120104000716 |
| Full Name | Daniel Jacobazzi |
| Address |
1820 W Irving Park Rd Chicago IL 60613-2406 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1820 W Irving Park Rd, Chicago, IL 60613-2406 |
| Street Address |
1820 W IRVING PARK RD |
| City | CHICAGO |
| State | IL |
| Zip | 60613-2406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dianna W Bolen | Psychologist, Clinical | 4350 N Hermitage Ave, Chicago, IL 60613-1106 | |
| Seth Solway | Psychologist, Clinical | 4256 N Ravenswood Ave, Suite 211, Chicago, IL 60613-1114 | |
| Dennis F Pomerleau | Clinical Social Worker | 4256 N Ravenswood Ave, Suite 314, Chicago, IL 60613-1114 | |
| Damita Larue | Psychologist, Clinical | 4256 N Ravenswood Ave, Suite 220, Chicago, IL 60613-1114 | |
| Judith H Bobbe | Clinical Social Worker | 4256 N Ravenswood Ave, Suite 304, Chicago, IL 60613-1114 | |
| Andrea H Fink | Psychologist, Clinical | 4256 N Ravenswood Ave, Suite 314, Chicago, IL 60613-1114 | |
| Tatiana A Jaramillo | Nurse Practitioner | Ravenswood Health and Wellness Center S.c. | 4256 N Ravenswood Ave, Suite 101, Chicago, IL 60613-1114 |
| Jason G Fennema | Chiropractic | Ravenswood Health and Wellness Center S.c. | 4256 N Ravenswood Ave, Suite 101, Chicago, IL 60613-1114 |
| Kristin Buller | Clinical Social Worker | 4256 N Ravenswood Ave, Suite 303, Chicago, IL 60613-1114 | |
| Ashok C Shah | Internal Medicine | 1624 W Montrose Ave, Chicago, IL 60613-1214 | |
| Find all physicians in zip 60613 | |||
| City | CHICAGO |
| Zip Code | 60613 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CHICAGO + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.