Organization
ACCELERATED REHABILITATION CENTER OF KENOSHA LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASYA EXNER (UPFRONT SYSTEM DIRECTOR)
(262) 657-0222
Entity
Organization
Contact information
Practice address
510 AUBURN DR, SUITE B, ISLAND LAKE, IL 60042-9105
(847) 487-4609
(847) 487-4917
Mailing address
2998 MOMENTUM PL, CHICAGO, IL 60689-5330
(262) 657-0222
(262) 657-7190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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