Integrative Manual Osteopathic Associates, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070007862 Issued in IL

Legal business name

INTEGRATIVE MANUAL OSTEOPATHIC ASSOCIATES, INC.

Practice address

8906 Merion Dr
Orland Park, IL 60462-4785

Phone

(888) 510-5666

Fax

(888) 510-5666

NPI assigned

Mar 3, 2009

Last updated

Mar 3, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Hesham Khalil

Title

Physical Therapist

Phone

(888) 510-5666

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1487894531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 MERION DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624785",
            "telephone_number": "888-510-5666",
            "fax_number": "888-510-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8906 MERION DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624785",
            "telephone_number": "888-510-5666",
            "fax_number": "888-510-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MANUAL OSTEOPATHIC ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "HESHAM",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "888-510-5666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070007862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.