Organization
CHICAGO PT MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALED P OWEIMRIN PT (PRESIDENT)
(773) 490-0151
Entity
Organization
Contact information
Practice address
8019 LINCOLN AVE, SKOKIE, IL 60077-3611
(773) 490-0151
Mailing address
800 E NORTHWEST HWY STE 103, MOUNT PROSPECT, IL 60056-3457
(847) 227-8400
(847) 239-7686
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
070010227
IL
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216447
MEDICARE PTAN
IL
Enumeration date
05/17/2007
Last updated
09/12/2013
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