Healthcare Provider Details

I. General information

NPI: 1891666715
Provider Name (Legal Business Name): REHABCARE GROUP EAST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 STONERIDGE CREEK WAY
PLEASANTON CA
94588-2200
US

IV. Provider business mailing address

2600 COMPASS RD
GLENVIEW IL
60026-8001
US

V. Phone/Fax

Practice location:
  • Phone: 866-561-0496
  • Fax: 847-386-5196
Mailing address:
  • Phone: 678-491-6692
  • Fax: 847-386-5196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DENISE NICOLE DURHAM
Title or Position: DIVISION VICE PRESIDENT
Credential:
Phone: 678-491-6692