Active NPI
Tessel Jicku
- Physical Therapist
- Mount Prospect, IL
National Provider Identifier
1619889409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.039957
- Practice address
- 290 N Westgate Rd
Mount Prospect, IL 60056-2673 - Phone
- (224) 370-9509
- NPI assigned
- Sep 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.039957 | IL | Primary |
Addresses
Primary practice location
290 N Westgate Rd
Mount Prospect, IL 60056-2673
Mailing address
290 N Westgate Rd
Mount Prospect, IL 60056-2673
Phone (224) 370-9509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1619889409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 N WESTGATE RD",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600562673",
"telephone_number": "224-370-9509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 N WESTGATE RD",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600562673",
"telephone_number": "224-370-9509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JICKU",
"first_name": "TESSEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-17",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.039957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.