Organization
YOUSUF ENTERPRISES, INC.
Active
Other names
Axon Physical Therapy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAKUB ISAP PATEL DPT (PRESIDENT/OWNER)
(708) 612-5992
Entity
Organization
Contact information
Practice address
15868 S LA GRANGE RD, ORLAND PARK, IL 60462-4702
(708) 612-5992
(708) 633-7223
Mailing address
15868 S LA GRANGE RD, ORLAND PARK, IL 60462-4702
(708) 612-5992
(708) 633-0085
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070-003982
IL
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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