Waqaar Salim
Individual provider Active NPI Physical Therapist · Ogden, IL
NPI 1164532677 · NPPES record last updated Jun 8, 2009
Key facts
- NPI
- 1164532677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 1900 Ogden Avenue
Suite 203
Ogden, IL 60504 - Phone
- (630) 978-6218
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
1900 Ogden Avenue
Suite 203
Ogden, IL 60504
Mailing address
13920 Cambridge Cir
Plainfield, IL 60544-7376
Phone (815) 254-1107
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070-009900 | Other | IL | LICENSE # |
Other providers in Ogden, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.