Healthcare Provider Details

I. General information

NPI: 1801790902
Provider Name (Legal Business Name): REPS AND RECOVER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1852 JANKE DR STE B
NORTHBROOK IL
60062-6711
US

IV. Provider business mailing address

8 BRADBURY CT
FOX RIVER GROVE IL
60021-1845
US

V. Phone/Fax

Practice location:
  • Phone: 847-942-3003
  • Fax:
Mailing address:
  • Phone: 847-942-3003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SIBU KAPPUMKAL VARGHESE
Title or Position: PHYSICAL THERAPIST
Credential: PT, DPT, ATC
Phone: 847-942-3003