Provider Demographics
NPI:1407877582
Name:CHOICE REHAB INC.
Entity Type:Organization
Organization Name:CHOICE REHAB INC.
Other - Org Name:CHOICE REHAB INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:EGWUWUNWOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-328-1205
Mailing Address - Street 1:5302 FOXWOOD CT
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60586-7248
Mailing Address - Country:US
Mailing Address - Phone:815-230-3263
Mailing Address - Fax:
Practice Address - Street 1:828 DAVIS ST
Practice Address - Street 2:SUITE 200
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-4420
Practice Address - Country:US
Practice Address - Phone:847-328-1205
Practice Address - Fax:847-424-1630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1738434251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILE25211470321OtherDRIVERS LICENSE