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NPI 1700270162

NPI 1700270162 : ACCELERATED REHABILITATION CENTERS, LTD : EVANSTON, IL

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General NPI Number Information
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    NPI Number           |    1700270162
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    Entity Type          |    Organization 
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    Legal Business Name  |    ACCELERATED REHABILITATION CENTERS, LTD 
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Dates
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    Enumeration Date     |    03/24/2015
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    Last Update Date     |    02/13/2018
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Provider Practice Location Address
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    Address Line         |    522 MAIN ST 
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    City                 |    EVANSTON
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    State                |    IL
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    Zip                  |    60202-1815
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    Country              |    US
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    Telephone            |    847-475-1630
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    Fax                  |    847-475-1631
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Provider Business Mailing Address
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    Address Line         |    600 OAKMONT LN STE 600C 
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    City                 |    WESTMONT
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    State                |    IL
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    Zip                  |    60559-5548
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    Country              |    US
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    Telephone            |    630-575-6250
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    Fax                  |    630-575-7450
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Authorized Official
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    Title or Position    |    DIRECTOR OF CLINICAL SERVICES
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    Name                 |     GERI  COOK 
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    Credential           |    
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    Telephone            |    630-575-1940
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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       |    
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    License Number State |    IL
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