Provider Demographics
NPI:1053495309
Name:CHICAGO AREA REHABILITATION EXPERTS, INC
Entity Type:Organization
Organization Name:CHICAGO AREA REHABILITATION EXPERTS, INC
Other - Org Name:CARE PT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:O'HARE
Authorized Official - Last Name:SHACKLETON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:773-472-2731
Mailing Address - Street 1:2533 N SOUTHPORT AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-7166
Mailing Address - Country:US
Mailing Address - Phone:773-472-2731
Mailing Address - Fax:
Practice Address - Street 1:2533 N SOUTHPORT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-7166
Practice Address - Country:US
Practice Address - Phone:773-472-2731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty