Provider Demographics
NPI:1265914592
Name:ABDELHADI, ALAHELDEAN
Entity type:Individual
Prefix:
First Name:ALAHELDEAN
Middle Name:
Last Name:ABDELHADI
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 1:9254 WHERRY LN
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-7785
Mailing Address - Country:US
Mailing Address - Phone:708-954-7101
Mailing Address - Fax:
Practice Address - Street 1:6526 SPULASKI RD
Practice Address - Street 2:
Practice Address - City:CHIAGO
Practice Address - State:IL
Practice Address - Zip Code:60629-6062
Practice Address - Country:US
Practice Address - Phone:177-358-5946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-04
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL160.008335225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant