Organization
REHABILITATION SERVICES GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LECH BLACHURA PT (PT)
(630) 254-3621
Entity
Organization
Contact information
Practice address
6039 W BELMONT AVE, CHICAGO, IL 60634-5116
(630) 254-3621
Mailing address
6039 W BELMONT AVE, CHICAGO, IL 60634-5116
(630) 254-3621
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635324
BLUECROSS BLUESHILD
IL
Enumeration date
03/28/2008
Last updated
03/28/2008
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