Organization
REVREHAB, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLLEEN MARIE SKOTNICKI MPT (PHYSICAL THERAPIST)
(847) 977-7188
Entity
Organization
Contact information
Practice address
23410 W APOLLO CT, LAKE VILLA, IL 60046-9638
(847) 856-9014
Mailing address
1250 GOLDFINCH LN, ANTIOCH, IL 60002-6410
(847) 977-7188
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070013436
IL
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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