Provider Demographics
NPI:1043590375
Name:PROGRESSIVE HEALTH & REHABILITATION LTD
Entity Type:Organization
Organization Name:PROGRESSIVE HEALTH & REHABILITATION LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:Y
Authorized Official - Last Name:HUI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-632-9919
Mailing Address - Street 1:415 W GOLF RD
Mailing Address - Street 2:SUITE #3
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-3929
Mailing Address - Country:US
Mailing Address - Phone:847-981-8803
Mailing Address - Fax:847-981-8807
Practice Address - Street 1:415 W GOLF RD
Practice Address - Street 2:SUITE #3
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-3929
Practice Address - Country:US
Practice Address - Phone:847-981-8803
Practice Address - Fax:847-981-8807
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROGRESSIVE HEALTH & REHABILITATION, LTD.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-18
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-008505111N00000X
IL036-106892208100000X
IL036-1105692081P2900X
IL038.008505247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Multi-Specialty