Most Relevant Information
Provider Data
| NPI Number: | 1003826207 |
| Provider Name: | JARED GIBB PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 070-014535 |
Most Important Dates
| Enumeration Date: | 08/09/2006 |
| Last Updated: | 12/11/2013 |
Provider Practice Location
1440 W NORTH AVE
SUITE 202
MELROSE PARK
IL
601601422
Practice Location Phone/Fax
| Phone: | 7088658600 |
| Fax: | 7088658661 |
Provider Mailing Location
1000 E STATE PKWY
SUITE E
SCHAUMBURG
IL
601734569
Provider Mailing Phone/Fax
| Phone: | 6302858007 |
| Fax: | 6302858017 |