Provider Demographics
NPI:1144411802
Name:UNITED REHAB CENTER , PC
Entity Type:Organization
Organization Name:UNITED REHAB CENTER , PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOURDES
Authorized Official - Middle Name:E
Authorized Official - Last Name:ASTETE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-922-1200
Mailing Address - Street 1:4257 N MILWAUKEE AVE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-1642
Mailing Address - Country:US
Mailing Address - Phone:773-922-1200
Mailing Address - Fax:773-282-8757
Practice Address - Street 1:4257 N MILWAUKEE AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-1642
Practice Address - Country:US
Practice Address - Phone:773-922-1200
Practice Address - Fax:773-282-8757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy