Organization
REHABCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BONTA (REGIONAL DIRECTOR)
(618) 541-4536
Entity
Organization
Contact information
Practice address
555 W CARPENTER ST, SPRINGFIELD, IL 62702-4905
(121) 752-5188
Mailing address
555 W CARPENTER ST, SPRINGFIELD, IL 62702-4905
(121) 752-1880
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
146.003911
IL
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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