Provider Demographics
NPI:1366627739
Name:PHYSICIANS CHOICE REHABILITATION INC
Entity Type:Organization
Organization Name:PHYSICIANS CHOICE REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHARMAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:AZEEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:219-513-2320
Mailing Address - Street 1:PO BOX 2
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-0002
Mailing Address - Country:US
Mailing Address - Phone:219-516-1056
Mailing Address - Fax:888-727-6224
Practice Address - Street 1:8691 CONNECTICUT ST STE C
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-6239
Practice Address - Country:US
Practice Address - Phone:219-516-1056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-04
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy