Healthcare Provider Details

I. General information

NPI: 1366079428
Provider Name (Legal Business Name): TOTAL REHAB THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2020
Last Update Date: 03/26/2020
Certification Date: 03/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 N DEERE PARK DR E
HIGHLAND PARK IL
60035-5349
US

IV. Provider business mailing address

385 N DEERE PARK DR E
HIGHLAND PARK IL
60035-5349
US

V. Phone/Fax

Practice location:
  • Phone: 630-924-0156
  • Fax:
Mailing address:
  • Phone: 312-951-8200
  • Fax: 312-268-5434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARC STRONGIN
Title or Position: OWNER
Credential:
Phone: 312-951-8200