DR. JASON DOUGLAS FREEMAN D.O.
NPI 1104179142
Physical Medicine & Rehabilitation in Chicago, IL

NPI Status: Active since October 15, 2012

Contact Information

711 S DEARBORN ST UNIT 705
CHICAGO, IL
ZIP 60605
Phone: (708) 966-9283
Fax: (708) 258-1632

Get Directions Write a Review

  • Individual
  • Male
  • Years of Experience 14
  • Physical Medicine & Rehabilitation
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JASON FREEMAN

This page provides the complete NPI Profile along with additional information for Jason Freeman, a provider established in Chicago, Illinois with a medical specialization in Physical Medicine & Rehabilitation and more than 14 years of experience. He graduated from Midwestern University, Chicago College Of Osteopathic Med in 2012. The healthcare provider is registered in the NPI registry with number 1104179142 assigned on October 2012. The practitioner's primary taxonomy code is 208100000X with license number 036.140610 (IL). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1104179142
Provider Name
DR. JASON DOUGLAS FREEMAN D.O.
Gender
Male
Entity Type
Individual
Location Address
711 S DEARBORN ST UNIT 705 CHICAGO, IL 60605
Location Phone
(708) 966-9283
Location Fax
(708) 258-1632
Mailing Address
711 S DEARBORN ST UNIT 705 CHICAGO, IL 60605
Mailing Phone
(708) 966-9283
Mailing Fax
(708) 258-1632
Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year
2012
Is Sole Proprietor?
No
Enumeration Date
10-15-2012
Last Update Date
04-22-2022
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
License No.
036.140610
License State
IL
Taxonomy Description
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Medicare Participation & PECOS Enrollment Status

Jason Freeman is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jason Freeman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2365736089

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210111002079

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Hospital Beds (DB000N)

    Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)

    4 DME suppliers used 79 Medicare Claims 79 Services Paid

  • DME-Other DME (DE000N)

    Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) (HCPCS:E0630)

    5 DME suppliers used 36 Medicare Claims 36 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, tray, each (HCPCS:E0950)

    6 DME suppliers used 16 Medicare Claims 16 Services Paid

  • DME-Wheelchairs (DD000N)

    Heel loop/holder, any type, with or without ankle strap, each (HCPCS:E0951)

    8 DME suppliers used 67 Medicare Claims 120 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each (HCPCS:E0953)

    13 DME suppliers used 67 Medicare Claims 129 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot (HCPCS:E0954)

    3 DME suppliers used 11 Medicare Claims 18 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each (HCPCS:E0955)

    18 DME suppliers used 133 Medicare Claims 133 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each (HCPCS:E0955)

    10 DME suppliers used 539 Medicare Claims 539 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each (HCPCS:E0956)

    15 DME suppliers used 74 Medicare Claims 142 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware (HCPCS:E0960)

    8 DME suppliers used 34 Medicare Claims 35 Services Paid

  • DME-Wheelchairs (DD021N)

    Manual wheelchair accessory, wheel lock brake extension (handle), each (HCPCS:E0961)

    9 DME suppliers used 68 Medicare Claims 128 Services Paid

  • DME-Wheelchairs (DD021N)

    Manual wheelchair accessory, anti-tipping device, each (HCPCS:E0971)

    11 DME suppliers used 112 Medicare Claims 195 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each (HCPCS:E0973)

    15 DME suppliers used 143 Medicare Claims 270 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, positioning belt/safety belt/pelvic strap, each (HCPCS:E0978)

    12 DME suppliers used 92 Medicare Claims 92 Services Paid

  • DME-Wheelchairs (DD021N)

    Manual wheelchair accessory, push-rim activated power assist system (HCPCS:E0986)

    2 DME suppliers used 33 Medicare Claims 33 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, elevating leg rest, complete assembly, each (HCPCS:E0990)

    6 DME suppliers used 18 Medicare Claims 33 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, power seating system, tilt only (HCPCS:E1002)

    14 DME suppliers used 39 Medicare Claims 39 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction (HCPCS:E1007)

    14 DME suppliers used 89 Medicare Claims 89 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each (HCPCS:E1012)

    16 DME suppliers used 105 Medicare Claims 105 Services Paid

  • DME-Wheelchairs (DD021N)

    Residual limb support system for wheelchair, any type (HCPCS:E1020)

    2 DME suppliers used 17 Medicare Claims 17 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory (HCPCS:E1028)

    20 DME suppliers used 216 Medicare Claims 517 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory (HCPCS:E1028)

    15 DME suppliers used 719 Medicare Claims 1108 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, ventilator tray, fixed (HCPCS:E1029)

    3 DME suppliers used 17 Medicare Claims 17 Services Paid

  • DME-Wheelchairs (DD000N)

    Manual adult size wheelchair, includes tilt in space (HCPCS:E1161)

    10 DME suppliers used 500 Medicare Claims 500 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each (HCPCS:E1225)

    5 DME suppliers used 166 Medicare Claims 166 Services Paid

  • DME-Wheelchairs (DD021N)

    Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches (HCPCS:E2201)

    6 DME suppliers used 17 Medicare Claims 17 Services Paid

  • DME-Wheelchairs (DD021N)

    Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches (HCPCS:E2203)

    5 DME suppliers used 17 Medicare Claims 17 Services Paid

  • DME-Wheelchairs (DD021N)

    Accessory, arm trough, with or without hand support, each (HCPCS:E2209)

    9 DME suppliers used 21 Medicare Claims 30 Services Paid

  • DME-Wheelchairs (DD021N)

    Manual wheelchair accessory, pneumatic propulsion tire, any size, each (HCPCS:E2211)

    10 DME suppliers used 76 Medicare Claims 134 Services Paid

  • DME-Wheelchairs (DD021N)

    Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each (HCPCS:E2213)

    10 DME suppliers used 86 Medicare Claims 154 Services Paid

  • DME-Wheelchairs (DD021N)

    Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware (HCPCS:E2231)

    7 DME suppliers used 40 Medicare Claims 40 Services Paid

  • DME-Wheelchairs (DD009N)

    Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware (HCPCS:E2310)

    8 DME suppliers used 17 Medicare Claims 17 Services Paid

  • DME-Wheelchairs (DD009N)

    Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware (HCPCS:E2311)

    17 DME suppliers used 109 Medicare Claims 109 Services Paid

  • DME-Wheelchairs (DD009N)

    Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each (HCPCS:E2313)

    15 DME suppliers used 94 Medicare Claims 94 Services Paid

  • DME-Wheelchairs (DD009N)

    Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated (HCPCS:E2323)

    8 DME suppliers used 24 Medicare Claims 24 Services Paid

  • DME-Wheelchairs (DD009N)

    Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) (HCPCS:E2359)

    7 DME suppliers used 24 Medicare Claims 48 Services Paid

  • DME-Wheelchairs (DD009N)

    Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) (HCPCS:E2361)

    16 DME suppliers used 77 Medicare Claims 154 Services Paid

  • DME-Wheelchairs (DD009N)

    Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) (HCPCS:E2363)

    9 DME suppliers used 42 Medicare Claims 84 Services Paid

  • DME-Wheelchairs (DD009N)

    Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) (HCPCS:E2365)

    11 DME suppliers used 28 Medicare Claims 56 Services Paid

  • DME-Wheelchairs (DD009N)

    Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue (HCPCS:E2377)

    15 DME suppliers used 94 Medicare Claims 94 Services Paid

  • DME-Wheelchairs (DD021N)

    General use wheelchair seat cushion, width less than 22 inches, any depth (HCPCS:E2601)

    5 DME suppliers used 31 Medicare Claims 31 Services Paid

  • DME-Wheelchairs (DD021N)

    Positioning wheelchair seat cushion, width less than 22 inches, any depth (HCPCS:E2605)

    6 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Wheelchairs (DD021N)

    Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth (HCPCS:E2607)

    14 DME suppliers used 62 Medicare Claims 62 Services Paid

  • DME-Wheelchairs (DD021N)

    General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware (HCPCS:E2611)

    11 DME suppliers used 37 Medicare Claims 37 Services Paid

  • DME-Wheelchairs (DD021N)

    Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware (HCPCS:E2613)

    6 DME suppliers used 16 Medicare Claims 16 Services Paid

  • DME-Wheelchairs (DD021N)

    Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware (HCPCS:E2615)

    7 DME suppliers used 23 Medicare Claims 23 Services Paid

  • DME-Wheelchairs (DD021N)

    Custom fabricated wheelchair back cushion, any size, including any type mounting hardware (HCPCS:E2617)

    4 DME suppliers used 22 Medicare Claims 22 Services Paid

  • DME-Wheelchairs (DD021N)

    Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware (HCPCS:E2620)

    16 DME suppliers used 84 Medicare Claims 84 Services Paid

  • DME-Wheelchairs (DD021N)

    Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth (HCPCS:E2622)

    13 DME suppliers used 49 Medicare Claims 49 Services Paid

  • DME-Wheelchairs (DD021N)

    Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth (HCPCS:E2624)

    7 DME suppliers used 43 Medicare Claims 43 Services Paid

  • DME-Wheelchairs (DD000N)

    High strength, lightweight wheelchair (HCPCS:K0004)

    2 DME suppliers used 49 Medicare Claims 49 Services Paid

  • DME-Wheelchairs (DD000N)

    Ultralightweight wheelchair (HCPCS:K0005)

    9 DME suppliers used 51 Medicare Claims 51 Services Paid

  • DME-Wheelchairs (DD000N)

    Extra heavy duty wheelchair (HCPCS:K0007)

    2 DME suppliers used 13 Medicare Claims 13 Services Paid

  • DME-Wheelchairs (DD021N)

    Leg strap, each (HCPCS:K0038)

    5 DME suppliers used 13 Medicare Claims 13 Services Paid

  • DME-Wheelchairs (DD021N)

    Adjustable angle footplate, each (HCPCS:K0040)

    13 DME suppliers used 113 Medicare Claims 197 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair component or accessory, not otherwise specified (HCPCS:K0108)

    8 DME suppliers used 41 Medicare Claims 90 Services Paid

  • DME-Wheelchairs (DD021N)

    Elevating leg rests, pair (for use with capped rental wheelchair base) (HCPCS:K0195)

    8 DME suppliers used 293 Medicare Claims 293 Services Paid

  • DME-Other DME (DE000N)

    Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes (HCPCS:K0739)

    8 DME suppliers used 42 Medicare Claims 226 Services Paid

  • DME-Wheelchairs (DD009N)

    Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds (HCPCS:K0821)

    3 DME suppliers used 162 Medicare Claims 162 Services Paid

  • DME-Wheelchairs (DD009N)

    Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds (HCPCS:K0823)

    12 DME suppliers used 172 Medicare Claims 172 Services Paid

  • DME-Wheelchairs (DD009N)

    Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds (HCPCS:K0824)

    2 DME suppliers used 14 Medicare Claims 14 Services Paid

  • DME-Wheelchairs (DD009N)

    Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds (HCPCS:K0825)

    7 DME suppliers used 77 Medicare Claims 77 Services Paid

  • DME-Wheelchairs (DD009N)

    Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds (HCPCS:K0827)

    2 DME suppliers used 31 Medicare Claims 31 Services Paid

  • DME-Wheelchairs (DD009N)

    Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds (HCPCS:K0856)

    9 DME suppliers used 13 Medicare Claims 13 Services Paid

  • DME-Wheelchairs (DD009N)

    Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds (HCPCS:K0861)

    16 DME suppliers used 91 Medicare Claims 91 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Evaluation for wheelchair, each 15 minutes

This procedure involves assessing your physical needs and capabilities to determine the most suitable wheelchair for you. It takes into account your comfort, mobility, and lifestyle requirements. Each session lasts 15 minutes.

This service was performed 425 times for 281 patients

Extended patient service without direct patient contact, first hour

Extended patient service without direct contact refers to a healthcare service where professionals spend time reviewing your health records, consulting with other providers, or planning your care without you being present, for the first hour.

This service was performed 284 times for 278 patients

Initial nursing facility visit per day, typically 45 minutes

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

This service was performed 18 times for 18 patients

New patient home visit, typically 1 hour

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

This service was performed 24 times for 24 patients

New patient home visit, typically 75 minutes

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

This service was performed 313 times for 313 patients

Reviews for DR. JASON DOUGLAS FREEMAN D.O.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104179142, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 2 + 7 + 1 + 8 + 1 + 8 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104179142.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physical Medicine & Rehabilitation
711 S DEARBORN ST UNIT 705
CHICAGO, IL 60605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104179142, enumerated as an "individual" on October 15, 2012.

The provider is located at 711 S DEARBORN ST UNIT 705 CHICAGO, IL 60605 and the phone number is (708) 966-9283.

Physical Medicine & Rehabilitation with taxonomy code 208100000X.