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NPI Code Detail

MEDICARE: POST-ACUTE PHYSICIANS OF ILLINOIS LLC

MEDICARE: POST-ACUTE PHYSICIANS OF ILLINOIS LLC
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
1208100000XPhysical Medicine & Rehabilitation Physician036.112327IL

General Provider Information

NPI Number : 1902241391
Entity Type Code : Organization
Provider Name (Legal Business Name) : POST-ACUTE PHYSICIANS OF ILLINOIS LLC
Provider Business Mailing Address
First Line : 1776 WOODSTEAD CT
Second Line : SUITE 208
City : THE WOODLANDS
State : TX
Zip : 77380-1480
Country : US
Telephone Number : 877-749-7428
Fax Number : 281-724-3100
Provider Business Practice Location Address
First Line : 815 E IRVING PARK RD
Second Line :
City : STREAMWOOD
State : IL
Zip : 60107-3073
Country : US
Telephone Number : 630-837-5300
Fax Number : 630-213-9076
Authorized Official
Title or Position : CEO
Name : JOSE VARGAS
Credential : MD
Telephone Number : 877-749-7428
Provider Enumeration Date : 04/30/2013
Last Update Date : 04/09/2020

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Directions to “POST-ACUTE PHYSICIANS OF ILLINOIS LLC ” Practice Location

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