Provider Demographics
NPI:1144324419
Name:COMMITMENT PHYSICAL THERAPY P.C
Entity type:Organization
Organization Name:COMMITMENT PHYSICAL THERAPY P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR./ REGISTERED PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NAGLAA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSKENIDY
Authorized Official - Suffix:
Authorized Official - Credentials:DSC, MS, PT
Authorized Official - Phone:708-361-8052
Mailing Address - Street 1:11741 SOUTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1891
Mailing Address - Country:US
Mailing Address - Phone:708-361-8052
Mailing Address - Fax:708-361-8053
Practice Address - Street 1:11741 SOUTHWEST HIGHWAY
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1046
Practice Address - Country:US
Practice Address - Phone:708-361-8052
Practice Address - Fax:708-361-8053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-007638261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy