Individual
TAREQ AYYAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11730 LIGHTHOUSE LN, PALOS HEIGHTS, IL 60463
(708) 949-0784
Mailing address
11730 LIGHTHOUSE LN, PALOS HEIGHTS, IL 60463-1040
(708) 949-0784
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004818
IL
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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