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General NPI Number Information
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NPI Number | 1053088732
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Entity Type | Organization
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Legal Business Name | THE REHABILITATION INSTITUTE OF SOUTHERN ILLINOIS,LLC
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Dates
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Enumeration Date | 08/30/2021
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 2351 FRANK SCOTT PKWY E
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City | SHILOH
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State | IL
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Zip | 62269-7457
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Country | US
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Telephone | 618-206-7610
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Fax | 618-206-7995
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Provider Business Mailing Address
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Address Line | 2351 FRANK SCOTT PKWY E
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City | SHILOH
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State | IL
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Zip | 62269-7457
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Country | US
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Telephone | 618-206-7610
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Fax | 618-206-7995
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Authorized Official
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Title or Position | VICE PRESIDENT OF THE MANAGER
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Name | CAREY BENNETT MCRAE
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Credential |
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Telephone | 205-970-3442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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