Healthcare Provider Details

I. General information

NPI: 1104204304
Provider Name (Legal Business Name): ACCELERATED REHABILITATION CENTERS, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2015
Last Update Date: 12/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 US HIGHWAY 41
SCHERERVILLE IN
46375-1201
US

IV. Provider business mailing address

625 ENTERPRISE DR
OAK BROOK IL
60523-8813
US

V. Phone/Fax

Practice location:
  • Phone: 219-923-4832
  • Fax: 219-923-4838
Mailing address:
  • Phone: 630-575-6250
  • Fax: 630-575-7450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateIN

VIII. Authorized Official

Name: GERI COOK
Title or Position: VICE PRESIDENT OF BILLING OPERATION
Credential:
Phone: 630-575-1940