Provider Demographics
NPI:1376740225
Name:ADVANCED REHABILITATION MEDICINE LTD
Entity Type:Organization
Organization Name:ADVANCED REHABILITATION MEDICINE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-338-7168
Mailing Address - Street 1:9634 MILLSFORD CT
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8475
Mailing Address - Country:US
Mailing Address - Phone:630-715-9317
Mailing Address - Fax:615-721-4395
Practice Address - Street 1:1000 PHYSICIANS WAY
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-1471
Practice Address - Country:US
Practice Address - Phone:615-721-4026
Practice Address - Fax:615-721-4395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL10132121OtherBCBS ID
IL10132121OtherBCBS ID