Organization
REHAB CLIINIC OF AMERICA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMRAN ISMAIL (PRESIDENT)
(708) 663-2111
Entity
Organization
Contact information
Practice address
5565 W 95TH STREET, SUITE 1F, OAK LAWN, IL 60453-3788
(708) 663-2111
Mailing address
5565 W 95TH STREET, SUITE 1F, OAK LAWN, IL 60453-3788
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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