Provider Demographics
NPI:1912538539
Name:ASEIN, OHIMAI
Entity Type:Individual
Prefix:
First Name:OHIMAI
Middle Name:
Last Name:ASEIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21321 KNIGHTBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-2962
Mailing Address - Country:US
Mailing Address - Phone:312-342-5024
Mailing Address - Fax:
Practice Address - Street 1:21321 KNIGHTBRIDGE CT
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-2962
Practice Address - Country:US
Practice Address - Phone:312-342-5024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-02
Last Update Date:2020-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist