MEDICARE: MR. KHALED M RASHAD P.T,DPT,OCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070-007340	IL
2	225100000X	Physical Therapist	070007340	IL

General Provider Information

NPI Number	:	1629020706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KHALED M RASHAD P.T,DPT,OCS

Provider Business Mailing Address
First Line	:	PO BOX 2009
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60462-1000
Country	:	US
Telephone Number	:	773-585-9460
Fax Number	:	773-585-7030

Provider Business Practice Location Address
First Line	:	6526 S PULASKI RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60629-5136
Country	:	US
Telephone Number	:	773-585-9460
Fax Number	:	773-585-7030

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	02/13/2026

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