Organization
AURORA REHABILITATION CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO HENRIQUEZ M.D. (PRESIDENT)
(630) 701-2648
Entity
Organization
Contact information
Practice address
2003 MONTGOMERY RD, SUITE 104, AURORA, IL 60504-9078
(630) 701-2648
(630) 701-2713
Mailing address
PO BOX 6420, VILLA PARK, IL 60181-6420
(630) 701-2648
(630) 701-2713
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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