Individual
HAITHAM RAMADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MS
Contact information
Practice address
5693 S ARCHER AVE, CHICAGO, IL 60638-1655
(773) 284-0888
(773) 284-0880
Mailing address
5764 S ARCHER AVE, CHICAGO, IL 60638-1643
(773) 284-0888
(773) 284-0880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7000816
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7203613
AETENA PROVIDER NUMBER
IL
Enumeration date
11/14/2006
Last updated
12/12/2017
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