Healthcare Provider Details

I. General information

NPI: 1023101060
Provider Name (Legal Business Name): GLOBAL REHABILITATION CLINIC, SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 08/04/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8565 W DEMPSTER ST
NILES IL
60714-1401
US

IV. Provider business mailing address

8565 W DEMPSTER ST
NILES IL
60714-1401
US

V. Phone/Fax

Practice location:
  • Phone: 847-299-7000
  • Fax: 847-299-7007
Mailing address:
  • Phone: 847-299-7000
  • Fax: 847-299-7007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number042617906
License Number StateIL

VIII. Authorized Official

Name: PETER SLAVIN
Title or Position: PRESIDENT
Credential: DC
Phone: 847-299-7000