# CHICAGO REHABILITATION COLLECTIVE LLC

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

## Provider details

- **NPI number:** 1477119154
- **Authorized official:** RAHUL SHARMA MD (MEMBER)
- **Authorized official phone:** (708) 795-0100

## Contact information

- **Practice address:** 10400 W HIGGINS RD STE 300, ROSEMONT, IL 60018-3708
- **Practice address phone:** (847) 460-5040
- **Practice address fax:** (224) 585-3591
- **Mailing address:** 10400 W HIGGINS RD STE 300, ROSEMONT, IL 60018-3708
- **Mailing address phone:** (708) 795-0100
- **Mailing address fax:** (708) 795-0101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 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