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Organization

ACCELERATED REHABILITATION CENTER OF KENOSHA LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC C WARNER (CEO)
(815) 577-2840
Entity
Organization

Contact information

Practice address
15 COMMERCE DR, SUITE 106, GRAYSLAKE, IL 60030-7807
(847) 548-7782
(847) 548-7784
Mailing address
2998 MOMENTUM PL, CHICAGO, IL 60689-5330
(262) 657-0222
(262) 657-7190

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6726070002
DMERC
IL
Enumeration date
10/15/2014
Last updated
10/15/2014
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