Organization
EDGEWATER REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW CARR (PRESIDENT)
(815) 356-7142
Entity
Organization
Contact information
Practice address
1040 W GRANVILLE AVE, CHICAGO, IL 60660-5200
(815) 356-7142
Mailing address
352 W WOODSTOCK ST, CRYSTAL LAKE, IL 60014-4232
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
05/19/2006
Last updated
08/22/2020
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