# INTEGRATIVE REHABMEDICINE SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medlux Rehab & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902014285
- **Authorized official:** DR. RICARDO ALFONZO KNIGHT MD, MBA (PRESIDENT)
- **Authorized official phone:** (630) 873-5425

## Contact information

- **Practice address:** 345 EXECUTIVE PKWY STE M4, ROCKFORD, IL 61107-5291
- **Practice address phone:** (815) 381-8514
- **Mailing address:** 345 EXECUTIVE PKWY STE M4, ROCKFORD, IL 61107-5291
- **Mailing address phone:** (815) 381-8514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081H0002X | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | 036-110166 | IL | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 04/30/2018