Healthcare Provider Details

I. General information

NPI: 1982808655
Provider Name (Legal Business Name): ACORN REHAB SERVICES LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4639 W WASHINGTON BLVD
CHICAGO IL
60644-3618
US

IV. Provider business mailing address

1506 S SAWYER AVE UNIT #2
CHICAGO IL
60623-2120
US

V. Phone/Fax

Practice location:
  • Phone: 773-287-1822
  • Fax:
Mailing address:
  • Phone: 773-287-1822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number StateIL

VIII. Authorized Official

Name: FRANK PARKER
Title or Position: CEO
Credential: M.D.
Phone: 773-287-1822