Healthcare Provider Details
I. General information
NPI: 1578741682
Provider Name (Legal Business Name): CARING MEDICAL AND REHABILITATION SERVICES, S.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/31/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
715 LAKE ST SUITE 600
OAK PARK IL
60301-1422
US
IV. Provider business mailing address
715 LAKE ST SUITE 600
OAK PARK IL
60301-1422
US
V. Phone/Fax
- Phone: 708-848-7789
- Fax: 708-848-7763
- Phone: 708-848-7789
- Fax: 708-848-7763
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | IL |
VIII. Authorized Official
Name: DR.
ROSS
A
HAUSER
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 708-848-7789