NPI 1003210287 · live from the CMS NPI Registry
Accelerated Rehabilitation Center Of Kenosha Ltd
Physical Therapist in Fox Lake, IL. National Provider Identifier 1003210287, active.
NPI record
| NPI | 1003210287 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 1294 S Route 12, Fox Lake, IL 60020 |
| Practice phone | 847-973-9440 |
| Mailing address | 2998 Momentum Pl, Chicago, IL 60689 |
| Enumerated | October 16, 2014 |
| Last updated | October 16, 2014 |
| Authorized official | Eric Warner, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.