Healthcare Provider Details

I. General information

NPI: 1932597069
Provider Name (Legal Business Name): CARING MEDICAL & REHABILITATION SERVICES, S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2014
Last Update Date: 12/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9738 COMMERCE CENTER CT
FORT MYERS FL
33908-3670
US

IV. Provider business mailing address

715 LAKE ST SUITE 600
OAK PARK IL
60301-1422
US

V. Phone/Fax

Practice location:
  • Phone: 239-303-4069
  • Fax: 708-848-7763
Mailing address:
  • Phone: 708-848-7789
  • Fax: 708-848-7763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROSS A HAUSER
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 708-848-7789