Organization
SOVEREIGN REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK RAUSCH PT (PRESIDENT)
(630) 585-7337
Entity
Organization
Contact information
Practice address
1315 MACOM DR. SUITE 103, NAPERVILLE, IL 60564
(630) 585-7337
Mailing address
1315 MACOM DR STE 103, NAPERVILLE, IL 60564-9360
(630) 585-7337
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
070001782
IL
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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