# ADVOCATE REHAB CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Active Physical Therapy & Pain Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477653780
- **Authorized official:** DR. KHALED HUSSEIN DPT (PRESIDENT)
- **Authorized official phone:** (708) 715-1122

## Contact information

- **Practice address:** 5009 W 95TH ST, SUITE A, OAK LAWN, IL 60453-2401
- **Practice address phone:** (708) 499-2622
- **Practice address fax:** (708) 499-9466
- **Mailing address:** 5009 W 95TH ST, SUITE A, OAK LAWN, IL 60453-2401
- **Mailing address phone:** (708) 715-1122
- **Mailing address fax:** (708) 499-9466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070006948 | IL | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 03/09/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0001635584 | BCBS PROV NO | — |
| 05 | — | 338865784 | — | IL |