Organization
PRAIRIE STATE REHAB, LLC
Active
Other names
Prairie State Rehab, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON FREEMAN DO (CEO)
(708) 275-4087
Entity
Organization
Contact information
Practice address
711 S DEARBORN ST UNIT 705, CHICAGO, IL 60605-3820
(708) 966-9283
(708) 258-1632
Mailing address
711 S DEARBORN ST UNIT 705, CHICAGO, IL 60605-3820
(708) 966-9283
(708) 258-1632
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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