| Doctor Name: | MRS. JENNIFER LAUREN ROSKO |
| NPI Number: | 1013263342 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, CLT-LANA |
| License Number: | 070012167 |
| Business Practice Address: | 1s260 Summit Ave Oakbrook Terrace, IL - 601813941 |
| Business Phone Number: | 6309536778 |
| Business Fax Number: | 6309536793 |
| Mailing Address: | 2160 S 1st Ave, MAYWOOD |
| State: | IL |
| Postal Code: | 601533328 |
| Phone Number: | 6309536778 |
| Fax Number: | 6309536793 |
| NPI Enumeration Date: | 07/24/2012 |
| NPI Last Update Date: | 07/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 070012167 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |