Healthcare Provider Details

I. General information

NPI: 1720818826
Provider Name (Legal Business Name): ABC REHAB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2024
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1793 TRENT CT
WHEATON IL
60189-7726
US

IV. Provider business mailing address

1793 TRENT CT
WHEATON IL
60189-7726
US

V. Phone/Fax

Practice location:
  • Phone: 630-398-6457
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ZEESHAN BHATTI
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 630-398-6457