Organization
SOVEREIGN REHABILITATION OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENNIGER J DEBRA OTD (DIRECTOR OF PEDRIATRIC THERAPY)
(630) 585-7337
Entity
Organization
Contact information
Practice address
1315 MACOM DR, SUITE 103, NAPERVILLE, IL 60564-9358
(630) 585-7337
Mailing address
1315 MACOM DR, SUITE 103, NAPERVILLE, IL 60564-9358
(630) 585-7337
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
IL
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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