Hanan Awadallah, P.T.
Individual provider Active NPI Physical Therapist · Chicago, IL
NPI 1194030643 · NPPES record last updated Aug 9, 2010
Key facts
- NPI
- 1194030643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070017496 (IL)
- Practice address
- 9137 S Exchange Ave
Chicago, IL 60617-4225 - Phone
- (773) 721-5656
- Fax
- (773) 721-5757
- NPI assigned
- Aug 9, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rci (WRS) LLC
Practice addresses (Care Compare)
5322 S Archer Ave
Chicago, IL 60632-4949
Phone (773) 585-0430
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120312000482 | IL | Practitioner - Physical Therapist in Private Practice | 5991964918 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070017496 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rci (WRS), LLC | Current |
Accepting new patients | |
| Rci (WRS), LLC. | Current |
Accepting new patients |
Locations
5322 S Archer Ave
Chicago, IL 60632
Phone (773) 585-0430
826 W Touhy Ave
Park Ridge, IL 60068
Phone (847) 720-4165
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070017496 | IL | Yes |
Addresses
Primary practice location
9137 S Exchange Ave
Chicago, IL 60617-4225
Mailing address
9137 S Exchange Ave
Chicago, IL 60617-4225
Phone (773) 721-5656
Other providers in Chicago, IL
- Michael Awad
- Michael M Awad
- Ramez Heshmat Aziz Magrofa Awad
- Sawsan Mokhtar Awad
- Abanoub Abraham Awadalla
- Rafia Awais
- Saliha Awais
- Awakening Aspiration LLC
- Bakare Awakoaiye
- Khukheper Awakoaiye
All providers in Chicago, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.