| NPI | 1881257350 |
|---|---|
| Doing Business As | SOVEREIGN REHAB OF CHICAGO |
| Entity Type | Organization |
| Authorized Contact | KEITH TRAVERS Owner 773-755-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2019-04-19 |