Provider Demographics
NPI:1922633346
Name:AMERICAN SELECT REHAB SERVICES INC
Entity Type:Organization
Organization Name:AMERICAN SELECT REHAB SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PURNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALADI
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:630-400-8073
Mailing Address - Street 1:1705 MIDWEST CLUB PKWY
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2589
Mailing Address - Country:US
Mailing Address - Phone:630-400-8073
Mailing Address - Fax:
Practice Address - Street 1:865 N CASS AVE
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-6404
Practice Address - Country:US
Practice Address - Phone:630-400-8073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty