Healthcare Provider Details
I. General information
NPI: 1821110602
Provider Name (Legal Business Name): AMERICAN PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/04/2007
Last Update Date: 02/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8550 S HARLEM AVE SUITE A
BRIDGEVIEW IL
60455-1770
US
IV. Provider business mailing address
8550 S HARLEM AVE SUITE A
BRIDGEVIEW IL
60455-1770
US
V. Phone/Fax
- Phone: 708-598-2223
- Fax: 708-598-2226
- Phone: 708-598-2223
- Fax: 708-598-2226
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MOHAMED
KARIM
Title or Position: OWNER
Credential: PT
Phone: 708-598-2223