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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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