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General NPI Number Information
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NPI Number | 1659194736
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Entity Type | Organization
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Legal Business Name | REGENERATIVE MEDICINE CENTERS OF AMERICA, LLC
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 2500 WAUKEGAN RD
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City | GLENVIEW
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State | IL
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Zip | 60025
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Country | US
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Telephone | 847-340-5554
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Fax |
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Provider Business Mailing Address
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Address Line | 77 HILLBURN LN
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City | NORTH BARRINGTON
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State | IL
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Zip | 60010-6925
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Country | US
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Telephone | 847-340-5554
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Fax | 847-381-1563
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Authorized Official
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Title or Position | CEO/PRES
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Name | MR. PAUL CHARLES DANIEL
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Credential |
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Telephone | 847-340-5554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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