Provider Demographics
NPI:1578573119
Name:CHOICE REHAB INC.
Entity Type:Organization
Organization Name:CHOICE REHAB INC.
Other - Org Name:FIRST CHOICE REHAB INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:EGWUNWOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-328-1205
Mailing Address - Street 1:828 DAVIS ST STE 200
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-4442
Mailing Address - Country:US
Mailing Address - Phone:847-328-1205
Mailing Address - Fax:847-424-1630
Practice Address - Street 1:828 DAVIS ST STE 200
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-4442
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:2006-08-08
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty