Healthcare Provider Details

I. General information

NPI: 1811250350
Provider Name (Legal Business Name): SARAH R ZAYYAD PT,DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2012
Last Update Date: 10/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9634 S PULASKI RD
OAK LAWN IL
60453-3391
US

IV. Provider business mailing address

205 W WACKER DR SUITE 1020
CHICAGO IL
60606-1216
US

V. Phone/Fax

Practice location:
  • Phone: 708-423-4800
  • Fax: 708-423-4843
Mailing address:
  • Phone: 312-640-0329
  • Fax: 312-640-0407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070019268
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: