Organization
CRESCENT REHAB CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IMITIAZ AHMED (PRESIDENT)
(847) 277-9955
Entity
Organization
Contact information
Practice address
10 EXECUTIVE CT, SUITE 5, SOUTH BARRINGTON, IL 60010-9506
(847) 277-9955
(847) 277-9958
Mailing address
10 EXECUTIVE CT, SUITE 5, SOUTH BARRINGTON, IL 60010-9506
(847) 277-9955
(847) 277-9958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
IL
225X00000X
Occupational Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633036
BCBS PT AND OT GROUP
IL
Enumeration date
07/29/2006
Last updated
09/11/2025
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