Provider Demographics
NPI:1407150956
Name:FLEXEON REHABILITATION OF ORLAND PARK SOUTH, LLC
Entity type:Organization
Organization Name:FLEXEON REHABILITATION OF ORLAND PARK SOUTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:JUDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-610-8951
Mailing Address - Street 1:2010 E ALGONQUIN RD
Mailing Address - Street 2:STE. 213
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4185
Mailing Address - Country:US
Mailing Address - Phone:847-485-3481
Mailing Address - Fax:847-925-1455
Practice Address - Street 1:9570 W 159TH ST
Practice Address - Street 2:STE. C
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-5504
Practice Address - Country:US
Practice Address - Phone:847-485-3481
Practice Address - Fax:847-925-1455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-26
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy