MEDICARE: RCI (WRS), 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
1	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1447827399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RCI (WRS), LLC

Provider Business Mailing Address
First Line	:	4714 GETTYSBURG RD
Second Line	:
City	:	MECHANICSBURG
State	:	PA
Zip	:	17055-4325
Country	:	US
Telephone Number	:	717-972-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 S PARK BLVD RM 112
Second Line	:
City	:	STREAMWOOD
State	:	IL
Zip	:	60107-2000
Country	:	US
Telephone Number	:	331-245-2080
Fax Number	:	331-245-2081

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MICHAEL TARVIN
Credential	:
Telephone Number	:	717-972-1100

Provider Enumeration Date	:	06/09/2021
Last Update Date	:	06/09/2021

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Directions to “RCI (WRS), LLC ” Practice Location

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