NPI 1477947422 · live from the CMS NPI Registry
Accelerated Rehabilitation Centers Of Kenosha Ltd
Physical Therapist in Marengo, IL. National Provider Identifier 1477947422, active.
NPI record
| NPI | 1477947422 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 300 S State St, Marengo, IL 60152 |
| Practice phone | 815-568-4550 |
| Mailing address | 625 Enterprise Dr, Oak Brook, IL 60523 |
| Enumerated | March 26, 2015 |
| Last updated | October 27, 2016 |
| Authorized official | Geri Cook, Director Of Clinical Services |
| Other names | Athletico Physical Therapy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | — (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.