Healthcare Provider Details

I. General information

NPI: 1235566530
Provider Name (Legal Business Name): REHAB & NURSING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2013
Last Update Date: 10/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5334 S ARCHER AVE SUITE B
CHICAGO IL
60632-4969
US

IV. Provider business mailing address

5334 S ARCHER AVE SUITE B
CHICAGO IL
60632-4969
US

V. Phone/Fax

Practice location:
  • Phone: 773-704-2910
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1011592
License Number StateIL

VIII. Authorized Official

Name: MALGORZATA JABLONSKA
Title or Position: PRESIDENT
Credential: RN
Phone: 17737042910