Presbyterian Homes Outpatient Rehabilitation Agency LLC

NPI #1306243852 in Evanston, Illinois

Provider Information

NPI Number
1306243852
Entity Type
Organization
Organization Name
Presbyterian Homes Outpatient Rehabilitation Agency LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PRESBYTERIAN HOMES MANAGER LLC
Primary Specialty
Clinic/Center - Rehabilitation
Enumeration Date
Nov 28, 2014
Last Updated
Oct 8, 2021

Practice Location

Address
3200 GRANT ST
ZIP Code
60201-1903
Phone
(847) 492-2940

Authorized Official

Name
MARK HAVRILKA
Title
CHIEF FINANCIAL OFFICER
Phone
(847) 979-3904

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RehabilitationRehabilitation

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