# ALPHA REHABILITATION MEDICAL CENTER LTD

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

## Provider details

- **NPI number:** 1538295332
- **Authorized official:** DR. ASHISH SUD DC (CLINIC DIRECTOR)
- **Authorized official phone:** (708) 788-3880

## Contact information

- **Practice address:** 3253 HARLEM AVE, SUITE 1B, BERWYN, IL 60402-2996
- **Practice address phone:** (708) 788-3880
- **Practice address fax:** (708) 788-4757
- **Mailing address:** 3253 HARLEM AVE, SUITE 1B, BERWYN, IL 60402-2996
- **Mailing address phone:** (708) 788-3880
- **Mailing address fax:** (708) 788-4757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 038010321 | IL | — |
| 111NR0400X | Rehabilitation Chiropractor | 038010456 | IL | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 08/09/2011