Organization
DUPAGE REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TABIA LEE EARL PT (OWNER)
(630) 848-1744
Entity
Organization
Contact information
Practice address
10 W MARTIN AVE STE 226, NAPERVILLE, IL 60540-6590
(630) 848-1744
(630) 848-1745
Mailing address
10 W MARTIN AVE STE 226, NAPERVILLE, IL 60540-6590
(630) 848-1744
(630) 848-1745
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2232697
BLUE CROSS
IL
01
—
696792
UNITED HEALTHCARE
IL
01
—
80314
UNICARE
IL
01
—
9302077
PHCS
IL
Enumeration date
12/08/2006
Last updated
11/01/2007
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