Jessica Jacknow
Physical Therapy Assistant
140 Lathrop Ave
Forest Park
, Illinois 60130-1067
Jessica Jacknow
Physical Therapy Assistant
140 Lathrop Ave
Forest Park
, Illinois 60130-1067
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Jessica Jacknow
- 140 Lathrop Ave
- Forest Park, IL
- Zip : 60130-1067
- Phone :
Second Address
- Jessica Jacknow
- 140 Lathrop Ave
- Forest Park, IL
- Zip : 60130-1067
- Phone : (773) 209-5377
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FAQs
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Is Jessica Jacknow accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 160003547 | IL |
National Provider Identifier
| NPI | 1013460781 |
|---|---|
| Provider Name | Jessica Jacknow |
| First Address | Forest Park, IL 60130-1067 |
| Second Address | Forest Park, IL 60130-1067 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2016 |
| Last Update Date | 29/07/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.