Organization
PROREHAB PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERI COOK (VP OF BILLING OPERATIONS)
(630) 575-1940
Entity
Organization
Contact information
Practice address
11525 OLDE CABIN RD STE 1, SAINT LOUIS, MO 63141-7146
(636) 239-9979
(636) 239-5442
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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