NPI 1073059424 · live from the CMS NPI Registry
Jette Abelido, DPT
Physical Therapist in Chicago, IL. National Provider Identifier 1073059424, active.
NPI record
| NPI | 1073059424 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 4902 N Seeley Ave # 2, Chicago, IL 60625 |
| Practice phone | 312-213-4470 |
| Mailing address | 4343 N Clarendon Ave, Chicago, IL 60613 |
| Enumerated | January 10, 2017 |
| Last updated | July 17, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 070.021568 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.