Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THERAPY PROVIDERS OF TINLEY PARK LTD.
Active
Organization
THERAPY PROVIDERS OF TINLEY PARK LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASHKOOR ALI KHAN (CHIEF EXECUTIVE OFFICER)
(708) 229-9828
Entity
Organization
Contact information
Practice address
16650 HARLEM AVE, TINLEY PARK, IL 60477-1847
(708) 342-1000
(708) 342-1143
Mailing address
16650 HARLEM AVE, TINLEY PARK, IL 60477-1847
(708) 342-1000
(708) 342-1143
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1636177
BCBS
IL
01
—
611221100
OWCP DEPT OF LABOR
IL
Enumeration date
02/12/2007
Last updated
04/11/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up