Organization
MIDWEST REHABILITATION ASSOCIATES LLC
Active
Organization
MIDWEST REHABILITATION ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES GULOTTA DEPPE MD (EXECUTIVE)
(815) 741-2201
Entity
Organization
Contact information
Practice address
2400 GLENWOOD AVE, SUITE 120, JOLIET, IL 60435-5474
(815) 741-2201
(815) 741-2285
Mailing address
PO BOX 3997, JOLIET, IL 60434-3997
(815) 741-2201
(815) 741-2285
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932105
BC/BS
IL
01
—
DA5166
RAIL ROAD MEDICARE
IL
Enumeration date
07/30/2006
Last updated
08/22/2020
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.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up