Provider Demographics
NPI:1053851618
Name:SKILLED REHABILITATION SPECIALISTS, INC.
Entity Type:Organization
Organization Name:SKILLED REHABILITATION SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BADER
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMOSHELLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-408-1117
Mailing Address - Street 1:1513 NORFOLK AVE
Mailing Address - Street 2:
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-3737
Mailing Address - Country:US
Mailing Address - Phone:630-408-1117
Mailing Address - Fax:708-575-2876
Practice Address - Street 1:1513 NORFOLK AVE
Practice Address - Street 2:
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-3737
Practice Address - Country:US
Practice Address - Phone:630-408-1117
Practice Address - Fax:708-575-2876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207R00000X, 208D00000X
IL036134581208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty