# PREMIER REHAB, LTD

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

## Provider details

- **NPI number:** 1700953924
- **Authorized official:** TIMOTHY J BERTELSMAN DC (PRESIDENT)
- **Authorized official phone:** (618) 236-3738

## Contact information

- **Practice address:** 4460 N ILLINOIS ST, \#5, SWANSEA, IL 62226-1899
- **Practice address phone:** (618) 236-3738
- **Practice address fax:** (618) 257-3291
- **Mailing address:** 4460 N ILLINOIS ST, \#5, SWANSEA, IL 62226-1899
- **Mailing address phone:** (618) 236-3738
- **Mailing address fax:** (618) 257-3291

## Taxonomy

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

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 11/01/2007