MEDICARE: TORQUE REHABILITATION NETWORK 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

General Provider Information

NPI Number	:	1235444928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TORQUE REHABILITATION NETWORK LTD

Provider Business Mailing Address
First Line	:	116 S YORK ST # 203
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-3432
Country	:	US
Telephone Number	:	630-336-5737
Fax Number	:	630-833-1096

Provider Business Practice Location Address
First Line	:	116 S YORK ST # 203
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-3432
Country	:	US
Telephone Number	:	630-336-5737
Fax Number	:	630-833-1096

Authorized Official
Title or Position	:	REHAB MANAGER
Name	:	KIMBERLY SAN LUIS
Credential	:
Telephone Number	:	630-336-5737

Provider Enumeration Date	:	08/18/2010
Last Update Date	:	08/18/2010

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