Organization
ALLIANCE REHAB STL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CALLEN (PRESIDENT)
(630) 413-5820
Entity
Organization
Contact information
Practice address
723 S LACLEDE STATION RD, SAINT LOUIS, MO 63119-4911
(630) 413-5820
(630) 413-5845
Mailing address
28100 TORCH PKWY, SUITE 600, WARRENVILLE, IL 60555-3938
(630) 413-5930
(630) 413-5845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
227800000X
Certified Respiratory Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC0041807
STATE LICENSE NUMBER
MO
Enumeration date
05/18/2015
Last updated
05/18/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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