# AVANZA REHABILITATION LTD

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

## Provider details

- **NPI number:** 1831580075
- **Authorized official:** ALEXANDER ALVAREZ M.S. OTR/L (ADMINISTRATOR/PRESIDENT)
- **Authorized official phone:** (773) 503-8715

## Contact information

- **Practice address:** 3501 E 106TH ST STE 102, CHICAGO, IL 60617-6625
- **Practice address phone:** (773) 503-8715
- **Mailing address:** 3501 E 106TH ST, SUITE 102, CHICAGO, IL 60617-6625
- **Mailing address phone:** (773) 503-8715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 04928725 | IL | Yes |

## Other

- **Enumeration date:** 02/10/2015
- **Last updated:** 05/18/2015