Healthcare Provider Details

I. General information

NPI: 1689582934
Provider Name (Legal Business Name): NADA ALARAJ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 W 95TH ST
EVERGREEN PARK IL
60805-1922
US

IV. Provider business mailing address

12930 BLOOMFIELD DR
PALOS PARK IL
60464-2508
US

V. Phone/Fax

Practice location:
  • Phone: 630-920-4670
  • Fax:
Mailing address:
  • Phone: 708-971-3666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070.040137
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: