Airobics Pulmonary Rehab Inc

Organization Active NPI Pulmonary Rehabilitation Registered Respiratory Therapist · Palos Heights, IL

NPI 1376008581 · NPPES record last updated Sep 9, 2019

Key facts

NPI
1376008581
Entity type
Organization (NPI type 2)
Primary specialty
Pulmonary Rehabilitation Registered Respiratory Therapist 2279P1005X
Legal business name
AIROBICS PULMONARY REHAB INC
Practice address
13450 S Ridgeland Ave
Palos Heights, IL 60463-2454
Phone
(708) 897-8666
Fax
(708) 926-2343
NPI assigned
Feb 1, 2019
Organization subpart
No

Authorized official

Name
Mohammad Ghouleh, RT
Title
President
Phone
(708) 259-6061

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190503000173 IL Part B Supplier - Clinic/Group Practice 9234471756 Receives reassigned benefits from 1 practitioner
Practice locations: Palos Heights, IL

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Rehabilitation Registered Respiratory Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
2279P1005X Yes

Addresses

Primary practice location

13450 S Ridgeland Ave
Palos Heights, IL 60463-2454

Mailing address

13450 S Ridgeland Ave
Palos Heights, IL 60463-2454
Phone (708) 679-4111

Other providers in Palos Heights, IL

All providers in Palos Heights, IL · Pulmonary Rehabilitation Registered Respiratory Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.