Jamie Stark
Jamie Stark is a Physical Therapist in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1630 N Humboldt BlvdChicago, IL 60647-5016
Phone: (773) 721-7668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1831923754 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 2, 2024 |
| Last updated in NPPES | September 2, 2024 |
| Certification date | September 2, 2024 |
| Mailing address | 1630 N Humboldt Blvd, Chicago, IL 60647-5016 |
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