Healthcare Provider Details

I. General information

NPI: 1801919485
Provider Name (Legal Business Name): HEALTH-1ST CENTER, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 09/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8550 S HARLEM AVE SUITE B
BRIDGEVIEW IL
60455-1770
US

IV. Provider business mailing address

8550 S HARLEM AVE SUITE B
BRIDGEVIEW IL
60455-1770
US

V. Phone/Fax

Practice location:
  • Phone: 708-598-2000
  • Fax: 708-598-2002
Mailing address:
  • Phone: 708-598-2000
  • Fax: 708-598-2002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038-009550
License Number StateIL

VIII. Authorized Official

Name: DR. MOHAMED SHALABI
Title or Position: OWNER
Credential: D.C.
Phone: 708-598-2000