Provider Demographics
NPI:1568766194
Name:YOUSUF ENTERPRISES, INC.
Entity Type:Organization
Organization Name:YOUSUF ENTERPRISES, INC.
Other - Org Name:AXON PHYSICAL THERAPY AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YAKUB
Authorized Official - Middle Name:ISAP
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:708-612-5992
Mailing Address - Street 1:15868 S LA GRANGE RD
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-4702
Mailing Address - Country:US
Mailing Address - Phone:708-612-5992
Mailing Address - Fax:708-633-0085
Practice Address - Street 1:15868 S LA GRANGE RD
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-4702
Practice Address - Country:US
Practice Address - Phone:708-612-5992
Practice Address - Fax:708-633-7223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-003982261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy