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NPI 1023101060

NPI 1023101060 : GLOBAL REHABILITATION CLINIC, SC : NILES, IL

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General NPI Number Information
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    NPI Number           |    1023101060
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    Entity Type          |    Organization 
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    Legal Business Name  |    GLOBAL REHABILITATION CLINIC, SC 
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Dates
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    Enumeration Date     |    10/02/2006
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    Last Update Date     |    08/04/2025
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Provider Practice Location Address
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    Address Line         |    8565 W DEMPSTER ST 
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    City                 |    NILES
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    State                |    IL
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    Zip                  |    60714-1401
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    Country              |    US
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    Telephone            |    847-299-7000
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    Fax                  |    847-299-7007
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Provider Business Mailing Address
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    Address Line         |    8565 W DEMPSTER ST 
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    City                 |    NILES
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    State                |    IL
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    Zip                  |    60714-1401
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    Country              |    US
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    Telephone            |    847-299-7000
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    Fax                  |    847-299-7007
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     PETER  SLAVIN 
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    Credential           |    DC
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    Telephone            |    847-299-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    208VP0014X
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    Taxonomy Name        |    Interventional Pain Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    042617906
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    License Number State |    IL
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