# ACCELERATED REHABILITATION CENTER OF KENOSHA LTD

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

## Provider details

- **NPI number:** 1992180814
- **Authorized official:** TASYA EXNER (UPFRONT SYSTEMS DIRECTOR)
- **Authorized official phone:** (262) 657-0222

## Contact information

- **Practice address:** 34572 N US HIGHWAY 45, SPACE A, THIRD LAKE, IL 60030-4037
- **Practice address phone:** (847) 548-3695
- **Practice address fax:** (847) 548-3694
- **Mailing address:** 2998 MOMENTUM PL, CHICAGO, IL 60689-5330
- **Mailing address phone:** (262) 657-0222
- **Mailing address fax:** (262) 657-7190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2015
- **Last updated:** 07/21/2015