Organization
INTEGRATIVE REHABMEDICINE SC
Active
Other names
Medlux Rehab & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO ALFONZO KNIGHT MD, MBA (PRESIDENT)
(630) 873-5425
Entity
Organization
Contact information
Practice address
345 EXECUTIVE PKWY STE M4, ROCKFORD, IL 61107-5291
(815) 381-8514
Mailing address
345 EXECUTIVE PKWY STE M4, ROCKFORD, IL 61107-5291
(815) 381-8514
Taxonomy
Speciality
Code
Description
License number
State
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
Primary
036-110166
IL
Other
Enumeration date
05/18/2007
Last updated
04/30/2018
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