Provider Demographics
NPI:1720221146
Name:MAXHEALTH REHAB & WELLNESS, INC.
Entity Type:Organization
Organization Name:MAXHEALTH REHAB & WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IMTIAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RPT
Authorized Official - Phone:847-221-5122
Mailing Address - Street 1:1818 N IRIS DR
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-1276
Mailing Address - Country:US
Mailing Address - Phone:847-221-5122
Mailing Address - Fax:847-221-5125
Practice Address - Street 1:1818 N IRIS DR
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-1276
Practice Address - Country:US
Practice Address - Phone:847-221-5122
Practice Address - Fax:847-221-5125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070013280225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty