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General NPI Number Information
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NPI Number | 1518059336
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Entity Type | Organization
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Legal Business Name | REHABILITY SC
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 600 W CHICAGO AVE RIVERWALK #4
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City | CHICAGO
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State | IL
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Zip | 60610
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Country | US
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Telephone | 312-644-4500
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Fax | 312-644-4501
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Provider Business Mailing Address
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Address Line | 600 W CHICAGO AVE RIVERWALK #4
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City | CHICAGO
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State | IL
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Zip | 60610
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Country | US
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Telephone | 312-644-4500
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Fax | 312-644-4501
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Authorized Official
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Title or Position | CONTRACTOR
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Name | MS. TYRA ISBELL
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Credential |
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Telephone | 312-415-0344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 70013088
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License Number State | IL
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Taxonomy #2
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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 | IL
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Taxonomy #3
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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 | IL
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