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Organization
SUPERIOR REHAB CENTER LLC
Active
Organization
SUPERIOR REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER GOMEZ (OWNER)
(773) 767-3822
Entity
Organization
Contact information
Practice address
4801 W PETERSON AVE, 615, CHICAGO, IL 60646-5713
(773) 283-4200
(773) 283-4209
Mailing address
677 WILDROSE CIR, LAKE VILLA, IL 60046-9021
(773) 767-3822
(773) 337-9106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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