Organization
JOINT & SPINE REHABILITATION OF NORTHERN ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS M BOILEVE DC (DIRECTOR)
(847) 266-0960
Entity
Organization
Contact information
Practice address
1866 SHERIDAN RD STE 317, HIGHLAND PARK, IL 60035-2546
(847) 266-0960
(847) 266-0961
Mailing address
1866 SHERIDAN RD STE 317, HIGHLAND PARK, IL 60035-2546
(847) 266-0960
(847) 266-0961
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
038-004203
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04927913
BCBS
IL
Enumeration date
03/02/2007
Last updated
09/26/2024
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