Age Rehab

LBN: Age Rehab & Medical Fitness
Age Rehab is an health care organization with primary practice located at 1701 W Jackson St Ste C , Macomb IL 61455-3175. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Age Rehab & Medical Fitness can be contacted via phone (309) 331-3590, or through Lidaywa, Victor Erude via phone (309) 833-1004.

Contact Information

Primary practice address
1701 W Jackson St Ste C Macomb IL 61455-3175
Phone: (309) 331-3590
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lidaywa, Victor Erude DPT
Phone: (309) 833-1004

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1184188443
LBN Legal business name Age Rehab & Medical Fitness
DBA Doing business as Age Rehab
Authorized official Lidaywa, Victor Erude DPT
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2019
Last updated Feb 2nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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