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Organization
THERAPY PROVIDERS OF ILLINOIS
Active
Organization
THERAPY PROVIDERS OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUBASHIR ALI KHAN (CHIEF EXECUTIVE OFFICER)
(708) 229-9828
Entity
Organization
Contact information
Practice address
1913 W CHICAGO AVE, THERAPY PROVIDERS OF ILLINOIS, CHICAGO, IL 60622
(312) 226-4460
(312) 226-1911
Mailing address
3849 W 95TH STREET, THERAPY PROVIDERS BUSINESS OFFICE, EVERGREEN PARK, IL 60805
(708) 229-9828
(708) 422-0914
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1632380
BCBS
IL
Enumeration date
02/12/2007
Last updated
09/11/2025
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