Organization
REHAB INNOVATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON L HOWARD MS, ATC, PTA (ADMINISTRATOR)
(618) 549-9449
Entity
Organization
Contact information
Practice address
200 N EMERALD LN, SUITE 1A, CARBONDALE, IL 62901-2100
(618) 549-9449
Mailing address
PO BOX 55, CARBONDALE, IL 62903-0055
(618) 549-9449
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03927511
BCBS PROVIDER NUMBER
IL
01
—
100174
HEALTH ALLIANCE PROVIDER
IL
01
—
473850
HEALTH LINK PROVIDER NUMB
IL
Enumeration date
07/30/2006
Last updated
04/28/2008
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