NPI 1184931735 · live from the CMS NPI Registry
Jamil Abdallah, PT
Physical Therapist in Oak Lawn, IL. National Provider Identifier 1184931735, active.
NPI record
| NPI | 1184931735 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 4440 W 95th St Ste 107, Oak Lawn, IL 60453 |
| Practice phone | 708-684-3000 |
| Mailing address | 4440 W 95th St, Oak Lawn, IL 60453 |
| Enumerated | September 2, 2010 |
| Last updated | April 28, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 070008029 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.