Provider Demographics
NPI:1376008581
Name:AIROBICS PULMONARY REHAB INC
Entity Type:Organization
Organization Name:AIROBICS PULMONARY REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:GHOULEH
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:708-259-6061
Mailing Address - Street 1:13450 S RIDGELAND AVE
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-2454
Mailing Address - Country:US
Mailing Address - Phone:708-679-4111
Mailing Address - Fax:773-635-5757
Practice Address - Street 1:13450 S RIDGELAND AVE
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-2454
Practice Address - Country:US
Practice Address - Phone:708-897-8666
Practice Address - Fax:708-926-2343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-01
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2279P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary RehabilitationGroup - Single Specialty