Provider Demographics
NPI:1225409329
Name:ALLIANCE REHAB SERVICES LLC
Entity Type:Organization
Organization Name:ALLIANCE REHAB SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:I
Authorized Official - Last Name:HAQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-941-4250
Mailing Address - Street 1:1230 PARK AVE W
Mailing Address - Street 2:231
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-2263
Mailing Address - Country:US
Mailing Address - Phone:708-941-4250
Mailing Address - Fax:888-990-0375
Practice Address - Street 1:1230 PARK AVE W
Practice Address - Street 2:231
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-2263
Practice Address - Country:US
Practice Address - Phone:708-941-4250
Practice Address - Fax:888-990-0375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-14
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy