Belvidere Rehab & Sports Medicine
LBN: Belvidere Rehab & Sports Medicine
Belvidere Rehab & Sports Medicine is an health care organization with primary practice located at 1255 Logan Ave , Belvidere IL 61008-4001. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Belvidere Rehab & Sports Medicine can be contacted via phone (815) 547-4733, or through Black, David A via phone (815) 227-1700.
Contact Information
Primary practice address
1255 Logan Ave
Belvidere IL 61008-4001
Phone: (815) 547-4733
Fax: (815) 547-9733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 060-008176 | Illinois |
Profile Details
| NPI number | 1619922515 |
|---|---|
| LBN Legal business name | Belvidere Rehab & Sports Medicine |
| DBA Doing business as | |
| Authorized official | Black, David A PT, MS, OCS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jan 8th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619922515 | NPPES |
| Illinois | Other | 060-008176 | PROFESSIONAL LICENSE |
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