=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508924812
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | METROPOLITAN REHABILITATION SERVICES,INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/05/2006
-----------------------------------------------------
Last Update Date | 07/26/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 493 S YORK ST SUITE # 2
-----------------------------------------------------
City | ELMHURST
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60126-3944
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-834-5416
-----------------------------------------------------
Fax | 630-834-2213
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 493 S YORK ST SUITE # 2
-----------------------------------------------------
City | ELMHURST
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60126-3944
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-834-5416
-----------------------------------------------------
Fax | 630-834-2213
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. NARESH KUMAR SOOD
-----------------------------------------------------
Credential | OTR
-----------------------------------------------------
Telephone | 630-834-5416
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 056000114
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------