Organization
COVENANT ALLIANCE REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CALLEN (PRESIDENT)
(630) 413-5820
Entity
Organization
Contact information
Practice address
1520 KENSINGTON RD, SUITE 110, OAK BROOK, IL 60523-2139
(630) 413-5800
(630) 413-5801
Mailing address
1520 KENSINGTON RD, SUITE 110, OAK BROOK, IL 60523-2139
(630) 413-5800
(630) 413-5801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
2279G0305X
Geriatric Care Registered Respiratory Therapist
—
—
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10414859
STATE LICENSE NUMBER
AZ
Enumeration date
01/21/2014
Last updated
01/21/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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