Healthcare Provider Details

I. General information

NPI: 1730803461
Provider Name (Legal Business Name): CEMAL OZEMEK PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2022
Last Update Date: 09/27/2022
Certification Date: 09/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 W ROOSEVELT RD STE 336
CHICAGO IL
60608-1316
US

IV. Provider business mailing address

1640 W ROOSEVELT RD # 308A
CHICAGO IL
60608-1316
US

V. Phone/Fax

Practice location:
  • Phone: 312-355-3996
  • Fax:
Mailing address:
  • Phone: 312-355-3996
  • Fax: 312-413-8333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Y00000X
TaxonomyClinical Exercise Physiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: