Individual
HESHAM K HEGAZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
4647 W 103RD ST, STE. #2L, OAK LAWN, IL 60453-4779
(708) 425-3466
(708) 425-3422
Mailing address
4647 W 103RD ST, STE. #2E, OAK LAWN, IL 60453-4779
(708) 425-3466
(708) 425-3422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00168464
RAILROAD MEDICARE
IL
Enumeration date
06/04/2006
Last updated
11/30/2007
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