NPI 1164618468 · live from the CMS NPI Registry
Azza Mustafa Abugisisa, D.C.
Chiropractor in Bridgeview, IL. National Provider Identifier 1164618468, active.
NPI record
| NPI | 1164618468 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 8550 S Harlem Ave Ste B, Bridgeview, IL 60455 |
| Practice phone | 708-598-2000 |
| Enumerated | September 20, 2007 |
| Last updated | October 20, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 01-05118 (KS) |
| Chiropractor primary | 111N00000X | 038.011508 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.