Organization
FAMILY PHYSICAL MEDICINE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALLAHUR RAHAMAN DN (OWNER)
(630) 863-5707
Entity
Organization
Contact information
Practice address
2182 GLADSTONE CT, SUITE B, GLENDALE HEIGHTS, IL 60139-1517
(708) 991-9002
(708) 991-9003
Mailing address
281 E WRIGHTWOOD AVE, GLENDALE HEIGHTS, IL 60139-2626
(708) 991-9002
(708) 991-9003
Taxonomy
Speciality
Code
Description
License number
State
172P00000X
Naprapath
181000337
IL
208D00000X
General Practice Physician
Primary
036114338
IL
225100000X
Physical Therapist
070013531
IL
Other
Enumeration date
06/24/2010
Last updated
07/14/2010
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