MEDICARE: ADVANCED METROREHAB INC.

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	208100000X	Physical Medicine & Rehabilitation Physician	036112395	IL

General Provider Information

NPI Number	:	1376676817
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED METROREHAB INC.

Provider Business Mailing Address
First Line	:	PO BOX 8043
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60680-8022
Country	:	US
Telephone Number	:	773-220-8835
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 W WASHINGTON BLVD UNIT 142
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-2148
Country	:	US
Telephone Number	:	773-220-8835
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RIZWAN ARAYAN
Credential	:	M.D.
Telephone Number	:	773-220-8835

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	05/05/2022

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