Revival Rehab Pc

LBN: Revival Rehab Pc
Revival Rehab Pc is an health care organization with primary practice located at 1701 Caton Ridge Dr , Plainfield IL 60544-5635. 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. Revival Rehab Pc can be contacted via phone (708) 323-7608, or through Badr, Medhat via phone (708) 323-7608.

Contact Information

Primary practice address
1701 Caton Ridge Dr Plainfield IL 60544-5635
Phone: (708) 323-7608
Fax: (708) 286-6461
Website:
Map and Directions
Authorized official contact:
Name: Badr, Medhat
Phone: (708) 323-7608

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070006996 Illinois

Profile Details

NPI number 1750690855
LBN Legal business name Revival Rehab Pc
DBA Doing business as
Authorized official Badr, Medhat
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2010
Last updated Oct 7th, 2010 - about 14 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 1750690855 NPPES
Illinois Other 070006996 STATE OF IL 070006996

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