Basic Information
| Provider Information | |||||||||
| NPI: | 1295202166 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ACCELERAED REHABILITATION CENTERS LTD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 600 OAKMONT LN STE 600C | ||||||||
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| City: | WESTMONT | ||||||||
| State: | IL | ||||||||
| PostalCode: | 605595548 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6305756250 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7249 ARBUCKLE CMNS | ||||||||
| Address2: | SUITE A | ||||||||
| City: | BROWNSBURG | ||||||||
| State: | IN | ||||||||
| PostalCode: | 461121465 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3172862388 | ||||||||
| FaxNumber: | 3179999650 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/30/2018 | ||||||||
| LastUpdateDate: | 10/30/2018 | ||||||||
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| AuthorizedOfficialLastName: | GRANADOS | ||||||||
| AuthorizedOfficialFirstName: | JUANA | ||||||||
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| AuthorizedOfficialTitleorPosition: | CREDENTIALING MANGAGER | ||||||||
| AuthorizedOfficialTelephone: | 6305751980 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.