Organization
CHICAGO REHABILITATION SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAITHAM RAMADAN P.T.,MS (PRESIDENT)
(708) 269-9116
Entity
Organization
Contact information
Practice address
5764 S ARCHER AVE, CHICAGO, IL 60638-1643
(773) 284-0888
(773) 284-0880
Mailing address
5764 S ARCHER AVE, CHICAGO, IL 60638-1643
(773) 284-0888
(773) 284-0880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633794
BC BS OF ILLINOIS GROP ID
IL
01
—
DA9343
RAIL ROAD MC ID
IL
Enumeration date
11/14/2006
Last updated
06/10/2013
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