Sovereign Rehabilitation of Illinois LLC

NPI #1376786749 in Chicago, Illinois

Provider Information

NPI Number
1376786749
Entity Type
Organization
Organization Name
Sovereign Rehabilitation of Illinois LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SOVEREIGN REHABILITATION
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Apr 14, 2009
Last Updated
May 29, 2009

Practice Location

Address
2835 N SHEFFIELD AVE
Address 2
SUITE 401
ZIP Code
60657-5081
Phone
(773) 755-7566

Authorized Official

Name
RICHARD W RAUSCH, PT
Title
PRESIDENT
Phone
(773) 755-7566

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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