Individual
HOSSAM ELDINE KAMAL YOUSSEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
5844 TOWNHOUSE DR, FORT WAYNE, IN 46804-4205
(260) 600-8825
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
05003265A
—
225100000X
Physical Therapist
Primary
—
—
251E00000X
Home Health Agency
05003265A
IN
Other
Enumeration date
07/28/2016
Last updated
04/27/2023
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