Provider Demographics
NPI:1801946314
Name:MENA CARE PHSICAL THERAPY AND REHAB,INC
Entity type:Organization
Organization Name:MENA CARE PHSICAL THERAPY AND REHAB,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST OWNER
Authorized Official - Prefix:PROF
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:NAGIB AB
Authorized Official - Last Name:SAYED
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:708-945-8440
Mailing Address - Street 1:101 OLD CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PALOS PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60464-1416
Mailing Address - Country:US
Mailing Address - Phone:708-945-8440
Mailing Address - Fax:
Practice Address - Street 1:101 OLD CREEK RD
Practice Address - Street 2:
Practice Address - City:PALOS PARK
Practice Address - State:IL
Practice Address - Zip Code:60464-1416
Practice Address - Country:US
Practice Address - Phone:708-945-8440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty