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Contact Information

ALPHA REHAB CENTER, SC
3253 HARLEM AVE
SUITE 3
BERWYN, IL60402-2996
 Phone: 708-317-5553
 Fax: 708-788-4757
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ALPHA REHAB CENTER, SC

NPI Number 1336497940
LBN Legal business name ALPHA REHAB CENTER, SC
Authorized official ASHISH SUD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2012
Last updated 05/25/2021 - About 5 years ago
Identifiers
IL License # 038010321
IL License # 038010456
IL Other IL7746 MEDICARE PTAN
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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