Provider Demographics
NPI:1710378344
Name:ALLIANCE REHAB, INC.
Entity Type:Organization
Organization Name:ALLIANCE REHAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-413-5820
Mailing Address - Street 1:5701 N SHERIDAN RD
Mailing Address - Street 2:APT. 11N
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-4771
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:28100 TORCH PKWY
Practice Address - Street 2:SUITE 600
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-3938
Practice Address - Country:US
Practice Address - Phone:630-413-5800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070017437261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation