Healthcare Provider Details

I. General information

NPI: 1700229192
Provider Name (Legal Business Name): REHABCARE GROUP EAST, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2013
Last Update Date: 04/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 SOUTH CASS AVENUE
WESTMONT IL
60559
US

IV. Provider business mailing address

6501 S CASS AVE
WESTMONT IL
60559-3200
US

V. Phone/Fax

Practice location:
  • Phone: 630-960-2026
  • Fax:
Mailing address:
  • Phone: 630-960-2026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number056.010086
License Number StateIL

VIII. Authorized Official

Name: PATRICIA HENRY
Title or Position: PRESIDENT
Credential:
Phone: 800-677-1238