DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SPORTS AND ORTHO P.C

MEDICARE: SPORTS AND ORTHO P.C
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
12081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician
22251S0007XSports Physical Therapist
3261QP2000XPhysical Therapy Clinic/Center
4261QR0400XRehabilitation Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101633349OTHERILBLUE CROSS

General Provider Information

NPI Number : 1871640565
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPORTS AND ORTHO P.C
Provider Business Mailing Address
First Line : 412 W 31ST ST
Second Line :
City : CHICAGO
State : IL
Zip : 60616-3116
Country : US
Telephone Number : 312-225-3119
Fax Number : 312-225-3219
Provider Business Practice Location Address
First Line : 412 W 31ST ST
Second Line :
City : CHICAGO
State : IL
Zip : 60616-3116
Country : US
Telephone Number : 312-225-3119
Fax Number : 312-225-3219
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : DAHLIA FAHMY
Credential : PT
Telephone Number : 312-375-5354
Provider Enumeration Date : 01/04/2007
Last Update Date : 12/24/2023

Similar Medicare Providers

1104973841 — DAHLIA FAHMY PT
Practice Location Address:
412 W 31ST ST
CHICAGO, IL
60616-3116
Practice Phone: 312-225-3119
Practice Fax: 312-225-3219
1063569747 — MICHELLE SHUFELT P.T
Practice Location Address:
412 W 31ST ST
CHICAGO, IL
60616-3116
Practice Phone: 312-225-3119
Practice Fax: 312-225-3219
1235461856 — DEANNE BROWN PTA
Practice Location Address:
412 W 31ST ST
CHICAGO, IL
60616-3116
Practice Phone: 312-225-3119
Practice Fax:
1760701791 — MRS. BRENDA JOY LARSON PITTACORA PTA
Practice Location Address:
412 W 31ST ST
CHICAGO, IL
60616-3116
Practice Phone: 312-225-3119
Practice Fax: 312-225-3219
1336410752 — STELLA SHABA PTA
Practice Location Address:
412 W 31ST ST
CHICAGO, IL
60616-3116
Practice Phone: 312-225-3119
Practice Fax:
1649640988 — MR. ANTHONY STUART GRAVIN DPT
Practice Location Address:
412 W 31ST ST
CHICAGO, IL
60616-3116
Practice Phone: 312-225-3119
Practice Fax:

Directions to “SPORTS AND ORTHO P.C ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.