Kaspar, Jill Marie

Kaspar, Jill Marie is an individual health care provider with primary practice located at 850 Brook Forest Ave Unit I, Shorewood IL 60404-8513. 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. Kaspar, Jill Marie can be contacted via phone (630) 904-5641.

Contact Information

Primary practice address
850 Brook Forest Ave Unit I Shorewood IL 60404-8513
Phone: (630) 904-5641
Fax: (630) 904-5661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Illinois

Profile Details

NPI number 1821184458
LBN Legal business name Kaspar, Jill Marie
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Mar 20th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821184458 NPPES
Illinois Other 9932300 BCBS

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