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General NPI Number Information
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NPI Number | 1720104110
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Entity Type | Organization
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Legal Business Name | REHAB MANAGEMENT SPECIALISTS, PC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 109 W FRONT ST
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City | HARVARD
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State | IL
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Zip | 60033-2833
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Country | US
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Telephone | 312-804-9332
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Fax | 815-943-0196
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Provider Business Mailing Address
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Address Line | 12172 S STATE ROUTE 47 STE 319
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City | HUNTLEY
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State | IL
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Zip | 60142-9619
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Country | US
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Telephone | 312-804-9332
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Fax | 815-943-0196
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Authorized Official
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Title or Position | OWNER
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Name | GEOFFREY J GENTRY
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Credential | PT
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Telephone | 312-804-9332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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