IndividualActive
Jeries Kahoush, LMT
NPI 1265816383 · Contractor · Chicago, IL
Provider details
- NPI number
- 1265816383
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 227.018078 (IL)
Specialties & taxonomies
Other Service Providers
Practice location
939 W Madison St
Chicago, IL 60607-2638
Phone: (312) 548-0601
Fax: (312) 277-7475
Approximate (ZIP-level) locationGet directions
Mailing address
12834 S Apple Ln
Alsip, IL 60803-2735
Registry dates
- Enumerated
- 2015-07-18
- Last updated
- 2015-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.