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Contact Information

REHAB SERVICES ROOSEVELT, S.C.
5418 WEST ROOSEVELT
CHICAGO, IL60644
 Phone: 773-379-9999
 Fax: 773-379-7113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for REHAB SERVICES ROOSEVELT SC · (Female)

NPI Number 1083701023
Status Active
Credentials
Entity Individual
Enumeration date 10/10/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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