Organization
PREMIER REHAB, LTD
Active
Organization
PREMIER REHAB, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J BERTELSMAN DC (PRESIDENT)
(618) 236-3738
Entity
Organization
Contact information
Practice address
4460 N ILLINOIS ST, #5, SWANSEA, IL 62226-1899
(618) 236-3738
(618) 257-3291
Mailing address
4460 N ILLINOIS ST, #5, SWANSEA, IL 62226-1899
(618) 236-3738
(618) 257-3291
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
IL
Other
Enumeration date
11/30/2006
Last updated
11/01/2007
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