Jacob J Ranalli
Jacob J Ranalli is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 4
- Licensed in
- IL
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
2820 W Armitage Ave Ste 1Chicago, IL 60647-6318
Phone: (773) 394-0796
Fax: (773) 394-3342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 070-026630 (IL) |
|---|---|
| Physical Therapist | Taxonomy 225100000X |
Record details
| NPI number | 1942932744 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 29, 2022 |
| Last updated in NPPES | July 8, 2022 |
| Certification date | July 8, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Athletico Ltd — 2186 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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