Healthcare Provider Details

I. General information

NPI: 1134138936
Provider Name (Legal Business Name): MAXIMUM REHABILITATION SERVICES, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2959 W 95TH ST
EVERGREEN PARK IL
60805-2409
US

IV. Provider business mailing address

2959 W 95TH ST
EVERGREEN PARK IL
60805-2409
US

V. Phone/Fax

Practice location:
  • Phone: 708-923-1768
  • Fax: 773-933-1690
Mailing address:
  • Phone: 708-923-1768
  • Fax: 773-933-1690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number060-006868
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number060-006868
License Number StateIL

VIII. Authorized Official

Name: MS. VISHAKHA SHAH
Title or Position: ADMINISTRATOR/PHYSICAL THERAPIST
Credential: RPT
Phone: 708-923-1768