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Organization
SOVEREIGN REHABILITATION OF CHICAGO, LTD
Active
Organization
SOVEREIGN REHABILITATION OF CHICAGO, LTD
Active
Other names
Sovereign Rehab of Chicago
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH TRAVERS (OWNER)
(773) 755-7566
Entity
Organization
Contact information
Practice address
2835 N SHEFFIELD AVE STE 401, CHICAGO, IL 60657-5084
(773) 755-7566
(773) 755-7580
Mailing address
2835 N SHEFFIELD AVE STE 401, CHICAGO, IL 60657-5084
(773) 755-7566
(773) 755-7580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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