Individual
MS. JENNIFER CACCOMO MATARAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4139 N FIRESTONE CT, HOFFMAN ESTATES, IL 60192-1701
(847) 525-9556
(847) 220-9206
Mailing address
4139 N FIRESTONE CT, HOFFMAN ESTATES, IL 60192-1701
(847) 525-9556
(847) 220-9206
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070015636
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1617235
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/26/2007
Last updated
12/08/2011
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