Fasen, Jo M
Fasen, Jo M is an sole proprietor health care provider with primary practice located at 675 N Saint Clair St Suite 17-100, Chicago IL 60611-5975. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Fasen, Jo M can be contacted via phone (312) 695-6800.Contact Information
Primary practice address
675 N Saint Clair St Suite 17-100
Chicago IL 60611-5975
Phone: (312) 695-6800
Fax: (312) 695-2771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | Illinois |
Profile Details
| NPI number | 1447476205 |
|---|---|
| LBN Legal business name | Fasen, Jo M |
| Credentials | MPT, OCS, CSCS, MDT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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