Organization
LIBERTY PHYSICAL THERAPY AND REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHALED RASHAD PHYSICAL THERAPY (PRESIDENT)
(708) 334-9365
Entity
Organization
Contact information
Practice address
6526 S PULASKI RD, CHICAGO, IL 60629-5136
(773) 585-9460
(773) 585-7030
Mailing address
6526 S PULASKI RD, CHICAGO, IL 60629-5136
(773) 585-9460
(773) 585-7030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325886294001
—
IL
Enumeration date
05/18/2006
Last updated
03/23/2026
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