Provider Demographics
NPI:1235444928
Name:TORQUE REHABILITATION NETWORK LTD
Entity Type:Organization
Organization Name:TORQUE REHABILITATION NETWORK LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REHAB MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAN LUIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-336-5737
Mailing Address - Street 1:116 S YORK ST # 203
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-3432
Mailing Address - Country:US
Mailing Address - Phone:630-336-5737
Mailing Address - Fax:630-833-1096
Practice Address - Street 1:116 S YORK ST # 203
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-3432
Practice Address - Country:US
Practice Address - Phone:630-336-5737
Practice Address - Fax:630-833-1096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty