Provider Demographics
NPI:1912020223
Name:FIRST REHAB NETWORK
Entity Type:Organization
Organization Name:FIRST REHAB NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RAHNEEL
Authorized Official - Middle Name:DELOS CIENTOS
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:773-780-5581
Mailing Address - Street 1:950 MILWAUKEE AVE
Mailing Address - Street 2:323
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-3710
Mailing Address - Country:US
Mailing Address - Phone:847-759-8280
Mailing Address - Fax:847-759-8270
Practice Address - Street 1:950 MILWAUKEE AVE
Practice Address - Street 2:323
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-3710
Practice Address - Country:US
Practice Address - Phone:847-759-8280
Practice Address - Fax:847-759-8270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation