| NPI Details | |
|---|---|
| NPI | 1053521385 |
| Enumeration Date | 05/23/2007 |
| Last Updated | 05/28/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | MICAHAEL REX MICAHAEL |
| Position | PRESIDENT |
| Phone | (708) 354-9599 |
| Fax | (708) 354-9799 |
| Practice Location | |
|---|---|
| 507 S LA GRANGE RD LA GRANGE IL, 60525-6740, US |
|
| Phone | (708) 354-9599 |
| Fax | (708) 354-9799 |
| Business Location | |
|---|---|
| 507 S LA GRANGE RD LA GRANGE IL, 60525-6740, US |
|
| Phone | (708) 354-9599 |
| Fax | (708) 354-9799 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 111NX0800X |
| License State | Illinois |
| License Number | 042.618434 |
| Remove 1053521385 NPI Number | |
According to our database, Complete Rehabilitation, Ltd NPI is 1053521385, taxonomy code is 111NX0800X and license number is 042.618434, license state is located at Illinois. Complete Rehabilitation, Ltd physically located at 507 S La Grange Rd, La Grange IL, 60525-6740. NPI Number 1033115704 has the healthcare provider type.
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1053521385 NPI number is provided on an as is basis without warranty of any kind. 1053521385 is maintained by the National Plan & Provider Enumeration System. The contents of Complete Rehabilitation, Ltd are for informational purposes only.
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