| Suburban Rehabilitation Specialists Llc | |
|
3217 Venard Rd Downers Grove IL 60515-1108 | |
| (815) 741-2201 | |
| (888) 741-7648 |
| Full Name | Suburban Rehabilitation Specialists Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3217 Venard Rd, Downers Grove, Illinois |
| Authorized Official Name and Position | Yeun Kim (OFFICE MANAGER) |
| Authorized Official Contact | 8157412201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Rehabilitation Specialists Llc 3217 Venard Rd Downers Grove IL 60515-1108 Ph: (815) 741-2201 | Suburban Rehabilitation Specialists Llc 3217 Venard Rd Downers Grove IL 60515-1108 Ph: (815) 741-2201 |
| NPI Number | 1659886513 |
|---|---|
| Provider Enumeration Date | 12/13/2017 |
| Last Update Date | 03/14/2023 |
| Medicare PECOS PAC ID | 7113286212 |
|---|---|
| Medicare Enrollment ID | O20180118000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659886513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 036093275 (Illinois) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | 036093275 (Illinois) | Primary |
| Provider Name | Ming Hung |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194730267 PECOS PAC ID: 6709810203 Enrollment ID: I20091217000151 |
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