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Organization
THER-A-CARE REHABILITATION LTD
Active
Organization
THER-A-CARE REHABILITATION LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA J NEE PT (OWNER)
(815) 634-3550
Entity
Organization
Contact information
Practice address
35 E WILLOW ST STE A, COAL CITY, IL 60416-1868
(815) 634-3550
Mailing address
35 E WILLOW ST STE A, COAL CITY, IL 60416-1868
(815) 634-3550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070011646
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3232028
BLUE CROSS BLUE SHIELD
IL
05
—
473901815001
—
IL
01
—
DF7483
RAILROAD MEDICARE GROUP NUMBER
IL
01
—
P00390229
RAILROAD MEDICARE PTAN
IL
Enumeration date
11/17/2006
Last updated
06/13/2011
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