Organization
REBOUND HEALTHCARE SYSTEMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J REEVES LCSW (OWNER/DIRECTOR)
(217) 210-2476
Entity
Organization
Contact information
Practice address
435 W WASHINGTON ST, SPRINGFIELD, IL 62702-5006
(217) 210-2476
(217) 210-2549
Mailing address
435 W WASHINGTON ST, SPRINGFIELD, IL 62702-5006
(217) 210-2476
(217) 210-2549
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
A-63130001-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-63130001-A
ILLINOIS DEPARTMENT OF HUMAN SERVICES, DASA
IL
Enumeration date
01/10/2017
Last updated
01/10/2017
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