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Organization
MIDWEST REHABILITATION GROUP
Active
Organization
MIDWEST REHABILITATION GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD WAYNE RAUSCH PHYSICAL THERAPIST (PRESIDENT)
(312) 860-4786
Entity
Organization
Contact information
Practice address
1850 N MOHAWK ST, CHICAGO, IL 60614-5214
(312) 860-4786
Mailing address
1850 N MOHAWK ST, CHICAGO, IL 60614-5214
(312) 860-4786
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070001827
IL
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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