Organization
EMPOWERME REHABILITATION ILLINOIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHURCH (VICE PRESIDENT OF FINANCE)
(618) 972-5228
Entity
Organization
Contact information
Practice address
904 W EVERGREEN AVE, EFFINGHAM, IL 62401-1795
(844) 502-7996
Mailing address
1335 STRASSNER DR, BRENTWOOD, MO 63144-1872
(844) 502-7996
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
09/06/2024
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