Provider Demographics
NPI:1790406692
Name:WELLNESS & REHAB INC
Entity Type:Organization
Organization Name:WELLNESS & REHAB INC
Other - Org Name:THERAPY ON KING DR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OVAIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-242-0877
Mailing Address - Street 1:15345 WEXFORD LN
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-6710
Mailing Address - Country:US
Mailing Address - Phone:630-242-0877
Mailing Address - Fax:708-775-7051
Practice Address - Street 1:15345 WEXFORD LN
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-6710
Practice Address - Country:US
Practice Address - Phone:630-242-0877
Practice Address - Fax:708-775-7051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-08
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty