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Contact Information

TAREQ AYYAD
11730 LIGHTHOUSE LN
PALOS HEIGHTS, IL60463
 Phone: 708-949-0784
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for TAREQ AYYAD · (Male)

NPI Number 1609253160
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2015
Last updated 05/04/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 160004818
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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