CHICAGO REHABILITATION COLLECTIVE LLC

Provider Demographics

• NPI: 1477119154
• Name: CHICAGO REHABILITATION COLLECTIVE LLC
• Entity Type: Organization
• Organization Name: CHICAGO REHABILITATION COLLECTIVE LLC
• Authorized Official - Title/Position: MEMBER
• Authorized Official - First Name: RAHUL
• Authorized Official - Last Name: SHARMA
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 708-795-0100
• Mailing Address - Street 1: 10400 W HIGGINS RD STE 300
• Mailing Address - City: ROSEMONT
• Mailing Address - State: IL
• Mailing Address - Zip Code: 60018-3708
• Mailing Address - Country: US
• Mailing Address - Phone: 708-795-0100
• Mailing Address - Fax: 708-795-0101
• Practice Address - Street 1: 10400 W HIGGINS RD STE 300
• Practice Address - City: ROSEMONT
• Practice Address - State: IL
• Practice Address - Zip Code: 60018-3708
• Practice Address - Country: US
• Practice Address - Phone: 847-460-5040
• Practice Address - Fax: 224-585-3591
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2019-05-17
• Last Update Date: 2020-11-12

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	208100000X	Allopathic & Osteopathic Physicians	Physical Medicine & Rehabilitation		Group - Multi-Specialty
No	208VP0000X	Allopathic & Osteopathic Physicians	Pain Medicine	Pain Medicine	Group - Multi-Specialty
No	224Z00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapy Assistant		Group - Multi-Specialty
No	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist		Group - Multi-Specialty
No	225200000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapy Assistant		Group - Multi-Specialty
No	225X00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist		Group - Multi-Specialty
No	227800000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Respiratory Therapist, Certified		Group - Multi-Specialty
No	2355S0801X	Speech, Language and Hearing Service Providers	Specialist/Technologist	Speech-Language Assistant	Group - Multi-Specialty
No	235Z00000X	Speech, Language and Hearing Service Providers	Speech-Language Pathologist		Group - Multi-Specialty
No	261Q00000X	Ambulatory Health Care Facilities	Clinic/Center		Group - Multi-Specialty
No	261QM1300X	Ambulatory Health Care Facilities	Clinic/Center	Multi-Specialty	Group - Multi-Specialty
No	261QP2000X	Ambulatory Health Care Facilities	Clinic/Center	Physical Therapy	Group - Multi-Specialty
No	261QX0100X	Ambulatory Health Care Facilities	Clinic/Center	Occupational Medicine	Group - Multi-Specialty