Provider Demographics
NPI:1497092878
Name:CREATIVE REHAB SERVICES, INC
Entity Type:Organization
Organization Name:CREATIVE REHAB SERVICES, INC
Other - Org Name:REHAB NETWORK,INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:L
Authorized Official - Last Name:TAN TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, OTR/L
Authorized Official - Phone:630-241-4648
Mailing Address - Street 1:7310 BUNKER RD
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-4102
Mailing Address - Country:US
Mailing Address - Phone:630-241-4648
Mailing Address - Fax:
Practice Address - Street 1:7310 BUNKER RD
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-4102
Practice Address - Country:US
Practice Address - Phone:630-241-4648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-06
Last Update Date:2013-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILAT16950899P252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency