NPI 1275623571 · live from the CMS NPI Registry
Ahmed Abdeldaiem, pt
Physical Therapist in Homewood, IL. National Provider Identifier 1275623571, active.
NPI record
| NPI | 1275623571 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 17901 Governors Hwy Ste 20, Homewood, IL 60430 |
| Practice phone | 773-374-7800 |
| Enumerated | October 15, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 070008452 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.