MEDICARE: WCS OCCUPATIONAL REHABILITATION AND SPORTS MEDICINE, 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1700942307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WCS OCCUPATIONAL REHABILITATION AND SPORTS MEDICINE, INC.

Provider Business Mailing Address
First Line	:	12400 S HARLEM AVE
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1440
Country	:	US
Telephone Number	:	708-671-0771
Fax Number	:	708-671-0767

Provider Business Practice Location Address
First Line	:	12400 S HARLEM AVE
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1440
Country	:	US
Telephone Number	:	708-671-0771
Fax Number	:	708-671-0767

Authorized Official
Title or Position	:	DIRECTOR OF ADMINISTRATION
Name	:	MRS. LAURIE CARTER
Credential	:
Telephone Number	:	708-671-0771

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	08/22/2020

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