Healthcare Provider Details
I. General information
NPI: 1871259572
Provider Name (Legal Business Name): ENJOY MOBILE REHAB
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/17/2021
Last Update Date: 12/10/2021
Certification Date: 12/10/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
141 N MAPLE ST
PALATINE IL
60067-4910
US
IV. Provider business mailing address
141 N MAPLE ST
PALATINE IL
60067-4910
US
V. Phone/Fax
- Phone: 224-587-6267
- Fax:
- Phone: 224-587-6267
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
KIMBERLY
J
LIND
Title or Position: PRESIDENT
Credential: PT
Phone: 224-587-6267