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Organization
COMMUNITY HEALTH & REHABILITATION, SC
Active
Organization
COMMUNITY HEALTH & REHABILITATION, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J PETRONE (CEO)
(847) 885-8820
Entity
Organization
Contact information
Practice address
275 W HIGGINS ROAD, HOFFMAN ESTATES, IL 60169
(847) 885-8820
(847) 885-9578
Mailing address
275 W HIGGINS ROAD, HOFFMAN ESTATES, IL 60169
(847) 885-8820
(847) 885-9578
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
042617415
IL
207Q00000X
Family Medicine Physician
Primary
036-103275
IL
208D00000X
General Practice Physician
1679510804
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
IL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1621687
BLUE CROSS BLUE SHIELD
IL
01
—
7761619001
CIGNA
IL
Enumeration date
10/02/2006
Last updated
10/25/2011
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