Spring Grove Physical Medicine And Rehabilatation Ltd

LBN: Spring Grove Physical Medicine And Rehabilatation Ltd
Spring Grove Physical Medicine And Rehabilatation Ltd is an health care organization with primary practice located at 2100 Route 12 Suite 101, Spring Grove IL 60081. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Chiropractic Providers / Chiropractor is the primary health care specialty. Spring Grove Physical Medicine And Rehabilatation Ltd can be contacted via phone (815) 675-0675, or through Destephano, Ralph Destephano via phone (815) 675-0675.

Contact Information

Primary practice address
2100 Route 12 Suite 101 Spring Grove IL 60081
Phone: (815) 675-0675
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Destephano, Ralph Destephano
Phone: (815) 675-0675

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Illinois

Profile Details

NPI number 1851443618
LBN Legal business name Spring Grove Physical Medicine And Rehabilatation Ltd
DBA Doing business as
Authorized official Destephano, Ralph Destephano
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1851443618 NPPES
Illinois Other 05632013 BLUE CROSS NUMBER

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