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NPI Code Detail

MEDICARE: WCS OCCUPATIONAL REHABILITATION AND SPORTS MEDICINE, INC.

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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1881741817
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 :
Provider Business Practice Location Address
First Line : 11040 W 179TH ST
Second Line :
City : ORLAND PARK
State : IL
Zip : 60467-9440
Country : US
Telephone Number : 708-478-3170
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF ADMINISTRATION
Name : LAURIE CARTER
Credential :
Telephone Number : 708-671-0771
Provider Enumeration Date : 01/04/2007
Last Update Date : 08/22/2020

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Directions to “WCS OCCUPATIONAL REHABILITATION AND SPORTS MEDICINE, INC. ” Practice Location

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