# FUNCTIONAL EFFECT REHABILITATION LTD

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

## Provider details

- **NPI number:** 1649617994
- **Authorized official:** DR. TYLER DANIEL REYNOLDS D.C. (OWNER)
- **Authorized official phone:** (920) 728-2930

## Contact information

- **Practice address:** 2474 WISCONSIN AVE, DOWNERS GROVE, IL 60515-4019
- **Practice address phone:** (920) 728-2930
- **Mailing address:** 2474 WISCONSIN AVE, DOWNERS GROVE, IL 60515-4019
- **Mailing address phone:** (920) 728-2930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 038012435 | IL | Yes |

## Other

- **Enumeration date:** 05/28/2013
- **Last updated:** 05/28/2013