# ACCELERATED REHABILITATION CENTER OF KENOSHA LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ATHLETICO PHYSICAL THERAPY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790187524
- **Authorized official:** GERI COOK (VP OF BILLING OPERATIONS)
- **Authorized official phone:** (630) 575-1940

## Contact information

- **Practice address:** 6500 NORTHWEST HWY, CRYSTAL LAKE, IL 60014-3117
- **Practice address phone:** (815) 455-7800
- **Practice address fax:** (815) 455-1299
- **Mailing address:** 625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
- **Mailing address phone:** (630) 575-1980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2014
- **Last updated:** 02/27/2017