Mohammed Alaiwi, DPT

Individual provider Active NPI Physical Therapist · Evanston, IL

NPI 1780243535 · NPPES record last updated Jun 6, 2019

Key facts

NPI
1780243535
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
070024330 (IL)
Practice address
909 Davis St Ste 220
Evanston, IL 60201-3664
Phone
(847) 733-7906
Fax
(847) 733-8405
NPI assigned
Jun 6, 2019
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)CodeLicenseStatePrimary
Physical Therapist 225100000X 070024330 IL Yes

Addresses

Primary practice location

909 Davis St Ste 220
Evanston, IL 60201-3664

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6200

Other providers in Evanston, IL

All providers in Evanston, IL · Physical Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.