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Organization
WCS OCCUPATIONAL REHABILITATION & SPORTS MEDICINE, INC.
Active
Organization
WCS OCCUPATIONAL REHABILITATION & SPORTS MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE CARTER (DIRECTOR OF ADMINISTRATION)
(708) 671-0771
Entity
Organization
Contact information
Practice address
19801 GOVERNORS HIGHWAY, SUITE 110, FLOSSMOOR, IL 60422-4363
(708) 671-0771
Mailing address
12400 S HARLEM AVE, PALOS HEIGHTS, IL 60463-1440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070009229
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1622333
BLUE CROSS BLUE SHIELD
IL
01
—
692689
UNITED HEALTHCARE
IL
01
—
7454077
AETNA
IL
Enumeration date
05/06/2010
Last updated
05/11/2010
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