Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MORALES (PROGRAM MANAGER)
(773) 544-0967
Entity
Organization
Contact information
Practice address
5333 N SHERIDAN RD, CHICAGO, IL 60640-7371
(773) 271-5189
Mailing address
5333 N SHERIDAN RD, CHICAGO, IL 60640-7371
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
160.006030
IL
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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