MEDICARE: REHAB SERVICES (CHICAGO HEIGHTS), S.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1477766798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB SERVICES (CHICAGO HEIGHTS), S.C.

Provider Business Mailing Address
First Line	:	3553 W PETERSON AVE
Second Line	:	SUITE 300
City	:	CHICAGO
State	:	IL
Zip	:	60659-3200
Country	:	US
Telephone Number	:	773-463-1313
Fax Number	:	773-463-5311

Provider Business Practice Location Address
First Line	:	1644 VINCENNES AVE
Second Line	:
City	:	CHICAGO HEIGHTS
State	:	IL
Zip	:	60411-3516
Country	:	US
Telephone Number	:	773-463-1313
Fax Number	:	773-463-5311

Authorized Official
Title or Position	:	CEO
Name	:	MR. MARK BERGER
Credential	:
Telephone Number	:	773-519-0500

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	08/22/2020

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