| NPI | 1700482114 |
|---|---|
| Doing Business As | PRAIRIE STATE REHAB, LLC |
| Entity Type | Organization |
| Authorized Contact | JASON FREEMAN CEO 708-275-4087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2020-12-10 |