Individual
GANIYU AZEEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
7443 INDIANAPOLIS BLVD, HAMMOND, IN 46324-2909
(219) 844-8100
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003421A
IN
261QP2000X
Physical Therapy Clinic/Center
05003421A
IN
Other
Enumeration date
06/13/2007
Last updated
08/14/2024
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