Park Ridge Rehab

LBN: Sbpt Inc
Park Ridge Rehab is an health care organization with primary practice located at 1480 Renaissance Drive Ste 304, Park Ridge IL 60068. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), which is considered as the primary health care specialty. Sbpt Inc can be contacted via phone (847) 768-9240, or through Wallner, John J via phone (847) 768-9240.

Contact Information

Primary practice address
1480 Renaissance Drive Ste 304 Park Ridge IL 60068
Phone: (847) 768-9240
Fax: (847) 768-9304
Website:
Map and Directions
Authorized official contact:
Name: Wallner, John J
Phone: (847) 768-9240

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Profile Details

NPI number 1063594794
LBN Legal business name Sbpt Inc
DBA Doing business as Park Ridge Rehab
Authorized official Wallner, John J
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1063594794 NPPES
Illinois MEDICAID 322924361001

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