Healthcare Provider Details

I. General information

NPI: 1225853336
Provider Name (Legal Business Name): REBA INVESTMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2024
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 W FRONT ST
HARVARD IL
60033-2833
US

IV. Provider business mailing address

109 W FRONT ST
HARVARD IL
60033-2833
US

V. Phone/Fax

Practice location:
  • Phone: 815-943-0191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SUMAN SAHA
Title or Position: OWNER
Credential:
Phone: 312-285-5589