Provider Demographics
NPI:1508924812
Name:METROPOLITAN REHABILITATION SERVICES,INC
Entity Type:Organization
Organization Name:METROPOLITAN REHABILITATION SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NARESH
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:SOOD
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:630-834-5416
Mailing Address - Street 1:493 S YORK ST
Mailing Address - Street 2:SUITE # 2
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-3944
Mailing Address - Country:US
Mailing Address - Phone:630-834-5416
Mailing Address - Fax:630-834-2213
Practice Address - Street 1:493 S YORK ST
Practice Address - Street 2:SUITE # 2
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-3944
Practice Address - Country:US
Practice Address - Phone:630-834-5416
Practice Address - Fax:630-834-2213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056000114225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL213293OtherPTAN
IL333602239001Medicaid
IL0001617321OtherBLUE CROSS BLUE SHIELD
IL213293OtherPTAN
IL0001617321OtherBLUE CROSS BLUE SHIELD