Provider Demographics
NPI:1497884472
Name:AMERICAN REHAB NETWORK,INC.
Entity Type:Organization
Organization Name:AMERICAN REHAB NETWORK,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:PROF
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYED
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:312-225-8200
Mailing Address - Street 1:3239 S HALSTED ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-6605
Mailing Address - Country:US
Mailing Address - Phone:312-225-8200
Mailing Address - Fax:312-225-8216
Practice Address - Street 1:3239 S HALSTED ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-6605
Practice Address - Country:US
Practice Address - Phone:312-225-8200
Practice Address - Fax:312-225-8216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-008582225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01636208OtherBLUE CROSS BLUE SHIELD
IL213428Medicare ID - Type UnspecifiedGROUP