# ACCELERATED REHABILITATION CENTER OF KENOSHA LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003210287
- **Authorized official:** ERIC C WARNER (CEO)
- **Authorized official phone:** (815) 577-2840

## Contact information

- **Practice address:** 1294 S ROUTE 12, FOX LAKE, IL 60020-1950
- **Practice address phone:** (847) 973-9440
- **Practice address fax:** (847) 973-9442
- **Mailing address:** 2998 MOMENTUM PL, CHICAGO, IL 60689-5330
- **Mailing address phone:** (262) 657-0222
- **Mailing address fax:** (262) 657-7190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2014
- **Last updated:** 10/16/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 6726070001 | DMERC | IL |