MEDICARE: ACCELERATED REHABILITATION CENTERS, LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist		IL

General Provider Information

NPI Number	:	1093109332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCELERATED REHABILITATION CENTERS, LTD

Provider Business Mailing Address
First Line	:	625 ENTERPRISE DR
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-8813
Country	:	US
Telephone Number	:	630-575-6250
Fax Number	:	630-575-7450

Provider Business Practice Location Address
First Line	:	7119 W DEMPSTER ST
Second Line	:
City	:	NILES
State	:	IL
Zip	:	60714-2131
Country	:	US
Telephone Number	:	847-470-9995
Fax Number	:	847-470-9996

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	JUANA GRANADOS
Credential	:
Telephone Number	:	630-575-1980

Provider Enumeration Date	:	03/25/2015
Last Update Date	:	11/20/2019

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