Organization
SOVEREIGN REHABILITATION OF ILLINOIS LLC
Active
Parent organization
SOVEREIGN REHABILITATION
Other names
Sovereign Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOVEREIGN REHABILITATION
Authorized official
RICHARD W RAUSCH PT (PRESIDENT)
(773) 755-7566
Entity
Organization
Contact information
Practice address
2835 N SHEFFIELD AVE, SUITE 401, CHICAGO, IL 60657-5081
(773) 755-7566
(773) 755-7580
Mailing address
2835 N SHEFFIELD AVE, SUITE 401, CHICAGO, IL 60657-5081
(773) 755-7566
(773) 755-7580
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070001827
IL
Other
Enumeration date
04/14/2009
Last updated
05/29/2009
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