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Contact Information

JENNIFER M MASTERSON, PT, ATC
5221 N BROADWAY ST
CHICAGO, IL60640-2303
 Phone: 773-784-9406
 Fax: 773-784-9401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Athletic Trainer

2255A2300X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JENNIFER M MASTERSON · (Female)

NPI # 1912976929
Status Active
Credentials PT, ATC
Entity Individual
Enumeration date 03/14/2006
Last updated 07/08/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 070-012420
  • IL License # 096-001603
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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