Provider Demographics
NPI:1902812860
Name:KARIM, MOHAMED (PT)
Entity Type:Individual
Prefix:
First Name:MOHAMED
Middle Name:
Last Name:KARIM
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8550 S HARLEM AVE
Mailing Address - Street 2:SUITE # A
Mailing Address - City:BRIDGEVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60455-1770
Mailing Address - Country:US
Mailing Address - Phone:708-598-2223
Mailing Address - Fax:708-598-2226
Practice Address - Street 1:8550 S HARLEM AVE
Practice Address - Street 2:SUITE # A
Practice Address - City:BRIDGEVIEW
Practice Address - State:IL
Practice Address - Zip Code:60455-1770
Practice Address - Country:US
Practice Address - Phone:708-598-2223
Practice Address - Fax:708-598-2226
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070006633225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist