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NPI Code Detail

MEDICARE: NEWRISE NEURO REHABILITATION CENTER LLC

MEDICARE: NEWRISE NEURO REHABILITATION CENTER LLC
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
1261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1194669036
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEWRISE NEURO REHABILITATION CENTER LLC
Provider Business Mailing Address
First Line : 171 N ABERDEEN ST STE 400
Second Line :
City : CHICAGO
State : IL
Zip : 60607-1670
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 171 N ABERDEEN ST STE 400
Second Line :
City : CHICAGO
State : IL
Zip : 60607-1670
Country : US
Telephone Number : 773-875-9060
Fax Number :
Authorized Official
Title or Position : CEO
Name : TIFFANY STEVENS
Credential :
Telephone Number : 773-875-9060
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “NEWRISE NEURO REHABILITATION CENTER LLC ” Practice Location

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