Organization
RENEWAL REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIEZER MEYSTEL (CEO)
(847) 983-8750
Entity
Organization
Contact information
Practice address
1200 KITTY HAWK, PERU, IN 46970-3725
(765) 689-7305
Mailing address
7358 N LINCOLN AVE STE 160, LINCOLNWOOD, IL 60712-1797
(847) 983-8750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/27/2021
Last updated
08/09/2021
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