NPI 1992180814 · live from the CMS NPI Registry
Accelerated Rehabilitation Center Of Kenosha Ltd
Physical Therapist in Third Lake, IL. National Provider Identifier 1992180814, active.
NPI record
| NPI | 1992180814 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 34572 N Us Highway 45, Space A, Third Lake, IL 60030 |
| Practice phone | 847-548-3695 |
| Mailing address | 2998 Momentum Pl, Chicago, IL 60689 |
| Enumerated | July 21, 2015 |
| Last updated | July 21, 2015 |
| Authorized official | Tasya Exner, Upfront Systems Director |
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.