Healthcare Provider Details

I. General information

NPI: 1043590375
Provider Name (Legal Business Name): PROGRESSIVE HEALTH & REHABILITATION LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2011
Last Update Date: 08/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 W GOLF RD SUITE #3
ARLINGTON HEIGHTS IL
60005-3929
US

IV. Provider business mailing address

415 W GOLF RD SUITE #3
ARLINGTON HEIGHTS IL
60005-3929
US

V. Phone/Fax

Practice location:
  • Phone: 847-981-8803
  • Fax: 847-981-8807
Mailing address:
  • Phone: 847-981-8803
  • Fax: 847-981-8807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038-008505
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number036-106892
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number036-110569
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number038.008505
License Number StateIL

VIII. Authorized Official

Name: DR. JASON Y. HUI
Title or Position: OWNER
Credential: D.C.
Phone: 847-632-9919