Provider Demographics
NPI:1124575725
Name:REX MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:REX MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:N.P.
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OYIBE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:708-204-7612
Mailing Address - Street 1:17 OLYMPIC VLG
Mailing Address - Street 2:# 3B
Mailing Address - City:CHICAGO HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60411-8101
Mailing Address - Country:US
Mailing Address - Phone:708-204-7612
Mailing Address - Fax:
Practice Address - Street 1:17 OLYMPIC VLG
Practice Address - Street 2:# 3B
Practice Address - City:CHICAGO HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60411-8101
Practice Address - Country:US
Practice Address - Phone:708-204-7612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209013679207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty