IndividualActive
Mathew Jacob
NPI 1598025520 · Geriatric Physical Therapist · Orland Park, IL
Provider details
- NPI number
- 1598025520
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 05009554A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
16228 Ryehill Cir
Orland Park, IL 60467-5392
Phone: (773) 817-1563
Approximate (ZIP-level) locationGet directions
Mailing address
16228 Ryehill Cir
Orland Park, IL 60467-5392
Registry dates
- Enumerated
- 2012-05-24
- Last updated
- 2012-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.