Organization
SUBURBAN HEALTH AND REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH GILL (ADMINISTRATOR)
(708) 756-1700
Entity
Organization
Contact information
Practice address
112 S HALSTED ST, CHICAGO HEIGHTS, IL 60411-1256
(708) 756-1700
Mailing address
112 S HALSTED ST, CHICAGO HEIGHTS, IL 60411-1256
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/03/2011
Last updated
09/27/2011
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