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Contact Information

INTEGRATIVE REHABMEDICINE SC
345 EXECUTIVE PKWY STE M4
ROCKFORD, IL61107-5291
 Phone: 815-381-8514
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

2081H0002X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for INTEGRATIVE REHABMEDICINE SC

NPI # 1902014285
LBN Legal business name INTEGRATIVE REHABMEDICINE SC
Authorized official RICARDO KNIGHT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2007
Last updated 04/30/2018 - About 8 years ago
Identifiers
IL License # 036-110166
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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