Individual
MR. GAMAL RIAD IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
6322 S PULASKI RD, CHICAGO, IL 60629-4706
(708) 566-0816
(708) 233-0341
Mailing address
3400 W 111TH ST, #158, CHICAGO, IL 60655-3330
(708) 566-0816
(708) 233-0341
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
03/29/2008
Last updated
03/31/2008
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