Provider Demographics
NPI:1407067648
Name:ADVANCE REHAB SERVICES INC.
Entity Type:Organization
Organization Name:ADVANCE REHAB SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:IBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-359-9997
Mailing Address - Street 1:10632 BLUE HERON DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-5489
Mailing Address - Country:US
Mailing Address - Phone:708-359-9997
Mailing Address - Fax:708-873-9377
Practice Address - Street 1:10632 BLUE HERON DR
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-5489
Practice Address - Country:US
Practice Address - Phone:708-359-9997
Practice Address - Fax:708-873-9377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-26
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health