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Contact Information

AMG PHYSICAL REHABILITATION, LLC
1601 E MAIN ST
SUITE D
SAINT CHARLES, IL60174-2387
 Phone: 630-377-7505
 Fax: 630-377-7532
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
 

Athletic Trainer

2255A2300X
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Massage Therapist

225700000X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for AMG PHYSICAL REHABILITATION, LLC

NPI Number 1831463595
LBN Legal business name AMG PHYSICAL REHABILITATION, LLC
Authorized official CHRISTOPHER GARN - (MANAGER-LLC CLINIC DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/28/2012
Last updated 04/12/2012 - About 14 years ago
Identifiers
IL License # 038010382
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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