NPI 1013288075

Jamal Sharif Hassan, PTA

Practitioner Physical Therapy Assistant Chicago, IL

Practice location

Address: 11150 S Hoyne Ave, Chicago, IL 60643-4004
Phone: (773) 592-6872

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 160005554 (IL)

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Registry record

NPI: 1013288075
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2012
Record last updated: 23 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.