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NPI Code Detail

MEDICARE: AHMED DAHBUR DPT

MEDICARE: AHMED DAHBUR DPT
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
1225100000XPhysical Therapist070024501IL

General Provider Information

NPI Number : 1770142192
Entity Type Code : Individual
Provider Name (Legal Business Name) : AHMED DAHBUR DPT
Provider Business Mailing Address
First Line : 24014 W RENWICK RD STE F
Second Line :
City : PLAINFIELD
State : IL
Zip : 60544-8708
Country : US
Telephone Number : 800-974-4378
Fax Number : 630-515-1536
Provider Business Practice Location Address
First Line : 18215 HARLEM AVE
Second Line :
City : TINLEY PARK
State : IL
Zip : 60477-3609
Country : US
Telephone Number : 800-974-4378
Fax Number : 630-515-1536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2019
Last Update Date : 05/01/2024

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