# ALPHA REHAB CENTER, SC

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

## Provider details

- **NPI number:** 1336497940
- **Authorized official:** DR. ASHISH SUD DC (PRESIDENT)
- **Authorized official phone:** (708) 317-5553

## Contact information

- **Practice address:** 3253 HARLEM AVE, SUITE 3, BERWYN, IL 60402-2996
- **Practice address phone:** (708) 317-5553
- **Practice address fax:** (708) 788-4757
- **Mailing address:** 3253 HARLEM AVE, SUITE 3, BERWYN, IL 60402-2996
- **Mailing address phone:** (708) 317-5553
- **Mailing address fax:** (708) 788-4757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 038010321 | IL | — |
| 111NR0400X | Rehabilitation Chiropractor | 038010456 | IL | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 08/29/2012
- **Last updated:** 05/25/2021
