Provider Demographics
NPI:1871870600
Name:SABOOWALA, RASHIDA H
Entity type:Individual
Prefix:
First Name:RASHIDA
Middle Name:H
Last Name:SABOOWALA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 N WARWICK AVE
Mailing Address - Street 2:APT 2C
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5704
Mailing Address - Country:US
Mailing Address - Phone:630-241-9446
Mailing Address - Fax:
Practice Address - Street 1:312 N WARWICK AVE
Practice Address - Street 2:APT 2C
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-5704
Practice Address - Country:US
Practice Address - Phone:630-241-9446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23797225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist