# EMPOWERME REHABILITATION ILLINOIS, LLC

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

## Provider details

- **NPI number:** 1366186942
- **Authorized official:** DAVID CHURCH (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (618) 972-5228

## Contact information

- **Practice address:** 904 W EVERGREEN AVE, EFFINGHAM, IL 62401-1795
- **Practice address phone:** (844) 502-7996
- **Mailing address:** 1335 STRASSNER DR, BRENTWOOD, MO 63144-1872
- **Mailing address phone:** (844) 502-7996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/21/2022
- **Last updated:** 09/06/2024