Organization
AVANZA REHABILITATION LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER ALVAREZ M.S. OTR/L (ADMINISTRATOR/PRESIDENT)
(773) 503-8715
Entity
Organization
Contact information
Practice address
3501 E 106TH ST STE 102, CHICAGO, IL 60617-6625
(773) 503-8715
Mailing address
3501 E 106TH ST, SUITE 102, CHICAGO, IL 60617-6625
(773) 503-8715
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
04928725
IL
Other
Enumeration date
02/10/2015
Last updated
05/18/2015
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