| Once Upon Rehabilitation (ours) | |
|
354 Winona St Park Forest IL 60466-1520 | |
| (630) 921-2317 | |
| Not Available |
| Full Name | Once Upon Rehabilitation (ours) |
|---|---|
| Speciality | Behavior Analyst |
| Location | 354 Winona St, Park Forest, Illinois |
| Authorized Official Name and Position | Jawahar Alvi (CEO) |
| Authorized Official Contact | 6309212317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Once Upon Rehabilitation (ours) 354 Winona St Park Forest IL 60466-1520 Ph: (630) 921-2317 | Once Upon Rehabilitation (ours) 354 Winona St Park Forest IL 60466-1520 Ph: (630) 921-2317 |
| NPI Number | 1063128411 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063128411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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