Healthcare Provider Details

I. General information

NPI: 1861711855
Provider Name (Legal Business Name): REHAB MAXX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2010
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 W GOLF RD STE 52
ARLINGTON HEIGHTS IL
60005-3923
US

IV. Provider business mailing address

415 W GOLF RD STE 52
ARLINGTON HEIGHTS IL
60005-3923
US

V. Phone/Fax

Practice location:
  • Phone: 847-258-5420
  • Fax: 847-258-5424
Mailing address:
  • Phone: 847-258-5420
  • Fax: 847-258-5424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: UDAY MATTA
Title or Position: CFO
Credential: OTR
Phone: 224-595-1608