Organization
EMPOWERME REHABILITATION ILLINOIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVID CHURCH (VICE PRESIDENT OF FIANCE)
(618) 972-5228
Entity
Organization
Contact information
Practice address
220 RON CRANK DR, HARRISBURG, IL 62946-3915
(844) 502-7996
Mailing address
PO BOX 736005, DALLAS, TX 75373-6005
(844) 502-7996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
12/14/2023
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