Healthcare Provider Details

I. General information

NPI: 1215110051
Provider Name (Legal Business Name): CURRENT REHABILITATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2007
Last Update Date: 12/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6759 N RAVENSWOOD AVE
CHICAGO IL
60626-3928
US

IV. Provider business mailing address

6759 N RAVENSWOOD AVE
CHICAGO IL
60626-3928
US

V. Phone/Fax

Practice location:
  • Phone: 773-301-5257
  • Fax: 773-761-6532
Mailing address:
  • Phone: 773-301-5257
  • Fax: 773-761-6532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateIL

VIII. Authorized Official

Name: MS. CHRISTINE ANNE ROSENTHAL
Title or Position: SLP
Credential: MA CCC
Phone: 773-301-5257