Hassan, Mohamed

Hassan, Mohamed is an individual health care provider with primary practice located at 3900 W 95Th St Suite 1, Evergreen Park IL 60805. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hassan, Mohamed can be contacted via phone (708) 423-7900.

Contact Information

Primary practice address
3900 W 95Th St Suite 1 Evergreen Park IL 60805
Phone: (708) 423-7900
Fax: (708) 423-7999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070007675 Illinois

Profile Details

NPI number 1174511679
LBN Legal business name Hassan, Mohamed
Credentials MHS,PT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Jun 13th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174511679 NPPES
Indiana MEDICAID 200472150

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