Provider Demographics
NPI:1396233854
Name:ALL AMERICAN PHYSICAL THERAPY P.C.
Entity type:Organization
Organization Name:ALL AMERICAN PHYSICAL THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HISHAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:ATALLAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-907-5444
Mailing Address - Street 1:9830 RIDGELAND AVE STE 3A
Mailing Address - Street 2:
Mailing Address - City:CHICAGO RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60415-2668
Mailing Address - Country:US
Mailing Address - Phone:708-907-5444
Mailing Address - Fax:708-907-5373
Practice Address - Street 1:9830 RIDGELAND AVE STE 3A
Practice Address - Street 2:
Practice Address - City:CHICAGO RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60415
Practice Address - Country:US
Practice Address - Phone:708-907-5444
Practice Address - Fax:708-907-5373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-30
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070006729261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy