Covenant Alliance Rehab

LBN: Covenant Alliance Rehab
Covenant Alliance Rehab is an health care organization with primary practice located at 1520 Kensington Rd Suite 110, Oak Brook IL 60523-2139. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatric Care, Speech, Language and Hearing Service Providers / Audiologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Covenant Alliance Rehab can be contacted via phone (630) 413-5800, or through Callen, John via phone (630) 413-5820.

Contact Information

Primary practice address
1520 Kensington Rd Suite 110 Oak Brook IL 60523-2139
Phone: (630) 413-5800
Fax: (630) 413-5801
Website:
Map and Directions
Authorized official contact:
Name: Callen, John
Phone: (630) 413-5820

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatric Care 2279G0305X
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1720401193
LBN Legal business name Covenant Alliance Rehab
DBA Doing business as
Authorized official Callen, John
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2014
Last updated Jan 21st, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720401193 NPPES
Arizona Other 10414859 STATE LICENSE NUMBER

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