Healthcare Provider Details

I. General information

NPI: 1922545599
Provider Name (Legal Business Name): ACCELERATED REHABILIATION CENTERS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2017
Last Update Date: 01/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 CURRENCY DR
BLOOMINGTON IL
61704-9398
US

IV. Provider business mailing address

625 ENTERPRISE DR
OAK BROOK IL
60523-8813
US

V. Phone/Fax

Practice location:
  • Phone: 309-664-7766
  • Fax:
Mailing address:
  • Phone: 630-575-1940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateIL

VIII. Authorized Official

Name: GERI COOK
Title or Position: VICE PRESIDENT OF BILLING OPERATION
Credential:
Phone: 630-575-1940