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General NPI Number Information
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NPI Number | 1679093736
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Entity Type | Organization
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Legal Business Name | REHAB AND HEALTH, LLC
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 10/13/2019
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Provider Practice Location Address
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Address Line | 111 N LINCOLN ST
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City | HINSDALE
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State | IL
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Zip | 60521-3438
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Country | US
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Telephone | 630-323-2087
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Fax | 708-589-1379
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Provider Business Mailing Address
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Address Line | 111 N LINCOLN ST
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City | HINSDALE
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State | IL
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Zip | 60521-3438
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Country | US
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Telephone | 630-323-2087
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Fax | 708-589-1379
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL S MARINKO
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Credential | MD
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Telephone | 630-323-2087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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