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NPI Code Detail

MEDICARE: JR NEUROSCIENCE PAIN AND REHAB CO.

MEDICARE: JR NEUROSCIENCE PAIN AND REHAB CO.
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
1208VP0000XPain Medicine Physician
22081P0301XBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician
3208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1275331191
Entity Type Code : Organization
Provider Name (Legal Business Name) : JR NEUROSCIENCE PAIN AND REHAB CO.
Provider Business Mailing Address
First Line : 12521 LAKE VIEW DR
Second Line :
City : ORLAND PARK
State : IL
Zip : 60467-1071
Country : US
Telephone Number : 708-586-2080
Fax Number :
Provider Business Practice Location Address
First Line : 1900 SILVER CROSS BLVD
Second Line :
City : NEW LENOX
State : IL
Zip : 60451-9509
Country : US
Telephone Number : 708-586-2080
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JOSEPH RABI
Credential : MD
Telephone Number : 708-289-1126
Provider Enumeration Date : 03/05/2025
Last Update Date : 06/08/2026

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