Premier Physical Therapy Pc

NPI 1336127117 - Physical Therapist - 225100000X

NPI Details
NPI 1336127117
Enumeration Date 01/03/2006
Last Updated 02/06/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MOHAMED MOHAMED
Position PRESIDENT
Phone (708) 423-7799
Fax (708) 423-7923
Practice Location
3900 W 95TH ST
SUITE 1
EVERGREEN PARK IL, 60805-1922, US
Phone (708) 423-7799
Fax (708) 423-7923
Business Location
361 S FRONTAGE RD
SUITE 124
BURR RIDGE IL, 60527-5830, US
Phone (630) 920-4670
Fax (630) 920-4687
Toxanomy
Taxonomy Code 225100000X
License State Illinois
License Number 070007675
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According to our database, Premier Physical Therapy Pc NPI is 1336127117, taxonomy code is 225100000X and license number is 070007675, license state is located at Illinois. Premier Physical Therapy Pc physically located at 3900 W 95th St, Evergreen Park IL, 60805-1922. NPI Number 1033115704 has the healthcare provider type.

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1336127117 NPI number is provided on an as is basis without warranty of any kind. 1336127117 is maintained by the National Plan & Provider Enumeration System. The contents of Premier Physical Therapy Pc are for informational purposes only.