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NPI Code Detail

MEDICARE: CHICAGO REHABILITATION SERVICES INC

MEDICARE: CHICAGO REHABILITATION SERVICES INC
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
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11633794OTHERILBC BS OF ILLINOIS GROP ID
2DA9343OTHERILRAIL ROAD MC ID

General Provider Information

NPI Number : 1881766921
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHICAGO REHABILITATION SERVICES INC
Provider Business Mailing Address
First Line : 5764 S ARCHER AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60638-1643
Country : US
Telephone Number : 773-284-0888
Fax Number : 773-284-0880
Provider Business Practice Location Address
First Line : 5764 S ARCHER AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60638-1643
Country : US
Telephone Number : 773-284-0888
Fax Number : 773-284-0880
Authorized Official
Title or Position : PRESIDENT
Name : MR. HAITHAM RAMADAN
Credential : P.T.,MS
Telephone Number : 708-269-9116
Provider Enumeration Date : 11/14/2006
Last Update Date : 06/10/2013

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Directions to “CHICAGO REHABILITATION SERVICES INC ” Practice Location

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