Healthcare Provider Details

I. General information

NPI: 1801907928
Provider Name (Legal Business Name): ACCELERATED REHABILITATION CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 10/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24014 W RENWICK RD 2ND FLOOR
PLAINFIELD IL
60544-8708
US

IV. Provider business mailing address

205 W WACKER DR SUITE 820
CHICAGO IL
60606-1216
US

V. Phone/Fax

Practice location:
  • Phone: 815-577-2480
  • Fax: 815-577-7535
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070004684
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateIL

VIII. Authorized Official

Name: ERIC C WARNER
Title or Position: CEO
Credential: PT,MPT
Phone: 312-640-0329