Brusa, Jason Roosevelt

Brusa, Jason Roosevelt is an individual health care provider with primary practice located at 820 S Damen Ave , Chicago IL 60612-3728. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as his primary health care specialty. Brusa, Jason Roosevelt can be contacted via phone (312) 569-9502.

Contact Information

Primary practice address
820 S Damen Ave Chicago IL 60612-3728
Phone: (312) 569-9502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X 56129 Illinois

Profile Details

NPI number 1922728047
LBN Legal business name Brusa, Jason Roosevelt
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2022
Last updated Aug 30th, 2022 - about 2 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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