Healthcare Provider Details

I. General information

NPI: 1013835321
Provider Name (Legal Business Name): MODERN REHABILITATION SERVICES LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4019 N TRIPP AVE
CHICAGO IL
60641-1943
US

IV. Provider business mailing address

4019 N TRIPP AVE
CHICAGO IL
60641-1943
US

V. Phone/Fax

Practice location:
  • Phone: 773-882-6586
  • Fax: 773-828-6165
Mailing address:
  • Phone: 773-882-6586
  • Fax: 773-828-6165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SARWAR KHAN
Title or Position: PRESIDENT/OCCUPATIONAL THERAPIST
Credential: OTR
Phone: 773-882-6586