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Organization
ACCELERATED REHABILITATION CENTER OF KENOSHA LTD
Active
Organization
ACCELERATED REHABILITATION CENTER OF KENOSHA LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC C WARNER (CEO)
(815) 577-2840
Entity
Organization
Contact information
Practice address
15 COMMERCE DR, SUITE 106, GRAYSLAKE, IL 60030-7807
(847) 548-7782
(847) 548-7784
Mailing address
2998 MOMENTUM PL, CHICAGO, IL 60689-5330
(262) 657-0222
(262) 657-7190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6726070002
DMERC
IL
Enumeration date
10/15/2014
Last updated
10/15/2014
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