Individual
JAMAL SHARIF HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11150 S HOYNE AVE, CHICAGO, IL 60643-4004
(773) 592-6872
Mailing address
11150 S HOYNE AVE, CHICAGO, IL 60643-4004
(773) 592-6872
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005554
IL
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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