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General NPI Number Information
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NPI Number | 1720221146
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Entity Type | Organization
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Legal Business Name | MAXHEALTH REHAB & WELLNESS, INC.
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Dates
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Enumeration Date | 04/15/2009
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 1818 N IRIS DR
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City | PALATINE
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State | IL
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Zip | 60074-1276
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Country | US
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Telephone | 847-221-5122
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Fax | 847-221-5125
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Provider Business Mailing Address
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Address Line | 1818 N IRIS DR
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City | PALATINE
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State | IL
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Zip | 60074-1276
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Country | US
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Telephone | 847-221-5122
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Fax | 847-221-5125
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. IMTIAZ AHMED
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Credential | M.S., R.P.T.
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Telephone | 847-221-5122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070013280
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License Number State | IL
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