Individual
DR. DANIEL JOSEPH JACOBAZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1820 W IRVING PARK RD, CHICAGO, IL 60613-2402
(773) 852-3335
(773) 751-5292
Mailing address
1820 W IRVING PARK RD, #1 W, CHICAGO, IL 60613-2406
(773) 852-3335
(773) 751-5292
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-008864
IL
225100000X
Physical Therapist
Primary
070018357
IL
Other
Enumeration date
08/15/2006
Last updated
08/23/2016
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