Organization
GENESIS REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINNA MARIE R. BOLONGAN (PHYSICAL THERAPIST)
(773) 679-4006
Entity
Organization
Contact information
Practice address
7120 N SHERIDAN RD, # 201, CHICAGO, IL 60626-2900
(773) 679-4006
Mailing address
7120 N SHERIDAN RD, # 201, CHICAGO, IL 60626-2900
(773) 679-4006
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
070015702
IL
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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