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Contact Information

ALTON MEDICAL REHABILTATION
1751 WASHINGTON AVE
ALTON, IL62002-4624
 Phone: 618-462-2008
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ALTON MEDICAL REHABILTATION

NPI Number 1053529537
LBN Legal business name ALTON MEDICAL REHABILTATION
Authorized official JEFFREY PFEIFER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
IL Other 042-6183336 STATE LICENSE
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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