Chicago Neurorehabilitation Center Llc

NPI 1114334547 - Psychologist - 103TC0700X

NPI Details
NPI 1114334547
Enumeration Date 07/17/2014
Last Updated 07/22/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MICHELLE MICHELLE
Position SOLE MBR
Phone (312) 504-4428
Fax
Practice Location
980 N MICHIGAN AVE
SUITE 1400
CHICAGO IL, 60611-4501, US
Phone (312) 504-4428
Fax
Business Location
6033 N SHERIDAN RD
SUITE N6
CHICAGO IL, 60660-3003, US
Phone (312) 504-4428
Fax (773) 751-2250
Toxanomy
Taxonomy Code 103TC0700X
License State Illinois
License Number 071008380
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According to our database, Chicago Neurorehabilitation Center Llc NPI is 1114334547, taxonomy code is 103TC0700X and license number is 071008380, license state is located at Illinois. Chicago Neurorehabilitation Center Llc physically located at 980 N Michigan Ave, Chicago IL, 60611-4501. NPI Number 1033115704 has the healthcare provider type.

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1114334547 NPI number is provided on an as is basis without warranty of any kind. 1114334547 is maintained by the National Plan & Provider Enumeration System. The contents of Chicago Neurorehabilitation Center Llc are for informational purposes only.