Provider Demographics
NPI:1669126835
Name:OMEGA REHAB & MOBILITY LLC
Entity type:Organization
Organization Name:OMEGA REHAB & MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REHAB & MOBILITY SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JEYARAJ
Authorized Official - Middle Name:VALENTINE
Authorized Official - Last Name:DAVID
Authorized Official - Suffix:
Authorized Official - Credentials:ATP
Authorized Official - Phone:630-414-1909
Mailing Address - Street 1:155 S ROHLWING RD
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101-3027
Mailing Address - Country:US
Mailing Address - Phone:630-414-1909
Mailing Address - Fax:630-797-5745
Practice Address - Street 1:155 S ROHLWING RD
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:IL
Practice Address - Zip Code:60101-3027
Practice Address - Country:US
Practice Address - Phone:630-414-1909
Practice Address - Fax:630-797-5745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment