Provider Demographics
NPI:1346457330
Name:POST REHABILITATIVE SOLUTIONS, INC
Entity Type:Organization
Organization Name:POST REHABILITATIVE SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:PETRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-236-8600
Mailing Address - Street 1:3450 MONTGOMERY RD
Mailing Address - Street 2:STE 21
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-3149
Mailing Address - Country:US
Mailing Address - Phone:630-236-8600
Mailing Address - Fax:630-236-8612
Practice Address - Street 1:3450 MONTGOMERY RD
Practice Address - Street 2:STE 21
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-3149
Practice Address - Country:US
Practice Address - Phone:630-236-8600
Practice Address - Fax:630-236-8612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL38-009285111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1922128057OtherBCBS IL PROVIDER NUMBER