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Organization
EXPRESS MEDICAL REHAB, INC.
Active
Organization
EXPRESS MEDICAL REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAE ESCOBAR (PRESIDENT)
17734173012
Entity
Organization
Contact information
Practice address
4937 W FULLERTON AVE, CHICAGO, IL 60639-2505
(177) 341-7301
Mailing address
4937 W FULLERTON AVE, CHICAGO, IL 60639-2505
(177) 341-7301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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