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Organization
PRO-REHAB SERVICES, P.C.
Active
Organization
PRO-REHAB SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB MUTHOLAM PT (PRESIDENT/ADMINISTRATOR)
(708) 489-6777
Entity
Organization
Contact information
Practice address
6400 W COLLEGE DR, SUITE 800, PALOS HEIGHTS, IL 60463-1785
(708) 489-6777
(708) 489-6303
Mailing address
6400 W COLLEGE DR, SUITE 800, PALOS HEIGHTS, IL 60463-1785
(708) 489-6777
(708) 489-6303
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
IL
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
IL
Other
Enumeration date
07/07/2006
Last updated
09/11/2025
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