Superior Rehab Center LLC
Physical Therapist in Chicago, IL. Organization (NPI-2).
NPI number1982018461
StatusActive
Last updated in NPPESJun 12, 2014
Details
- NPI
- 1982018461
- Entity type
- Organization (NPI-2)
- Legal business name
- Superior Rehab Center LLC
- Organization subpart
- No
- Enumeration date
- Jun 12, 2014
- Last updated
- Jun 12, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
4801 W Peterson Ave615
Chicago, IL 60646-5713
Phone 773-283-4200 · Fax 773-283-4209
Mailing address
677 Wildrose CirLake Villa, IL 60046-9021
Phone 773-767-3822 · Fax 773-337-9106
Authorized official
Roger Gomez
Owner
7737673822
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