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Organization
CHICAGO REHABILITATION COLLECTIVE LLC
Active
Organization
CHICAGO REHABILITATION COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAHUL SHARMA MD (MEMBER)
(708) 795-0100
Entity
Organization
Contact information
Practice address
10400 W HIGGINS RD STE 300, ROSEMONT, IL 60018-3708
(847) 460-5040
(224) 585-3591
Mailing address
10400 W HIGGINS RD STE 300, ROSEMONT, IL 60018-3708
(708) 795-0100
(708) 795-0101
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
224Z00000X
Occupational Therapy Assistant
—
NULL
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
227800000X
Certified Respiratory Therapist
—
NULL
227800000X
Certified Respiratory Therapist
—
—
2355S0801X
Speech-Language Assistant
—
NULL
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
Other
Enumeration date
05/17/2019
Last updated
11/12/2020
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