Organization
IMPULSE REHAB AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH GORMAN (CO-OWNER)
(708) 223-8011
Entity
Organization
Contact information
Practice address
3075 S WOLF ROAD, WESTCHESTER, IL 60154
(708) 223-8011
(708) 223-8193
Mailing address
3075 S WOLF ROAD, WESTCHESTER, IL 60154
(708) 223-8011
(708) 223-8193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
06/24/2019
Last updated
01/10/2024
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