Provider Demographics
NPI:1205388147
Name:COMPREHENSIVE REHABILITATION SERVICES, INC
Entity Type:Organization
Organization Name:COMPREHENSIVE REHABILITATION SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:E
Authorized Official - Last Name:SPRONG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CRC, LCPC
Authorized Official - Phone:815-993-8724
Mailing Address - Street 1:2500 N ANNIE GLIDDEN ROAD
Mailing Address - Street 2:SUITE F
Mailing Address - City:DEKALB
Mailing Address - State:IL
Mailing Address - Zip Code:60115
Mailing Address - Country:US
Mailing Address - Phone:815-993-8724
Mailing Address - Fax:
Practice Address - Street 1:2500 N ANNIE GLIDDEN RD
Practice Address - Street 2:SUITE F
Practice Address - City:DEKALB
Practice Address - State:IL
Practice Address - Zip Code:60115-1310
Practice Address - Country:US
Practice Address - Phone:815-993-8724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008817251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health