Provider Demographics
NPI:1821110602
Name:AMERICAN PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:AMERICAN PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:KARIM
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:708-598-2223
Mailing Address - Street 1:8550 S HARLEM AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BRIDGEVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60455-1770
Mailing Address - Country:US
Mailing Address - Phone:708-598-2223
Mailing Address - Fax:708-598-2226
Practice Address - Street 1:8550 S HARLEM AVE
Practice Address - Street 2:SUITE A
Practice Address - City:BRIDGEVIEW
Practice Address - State:IL
Practice Address - Zip Code:60455-1770
Practice Address - Country:US
Practice Address - Phone:708-598-2223
Practice Address - Fax:708-598-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy