Provider Demographics
NPI:1427763507
Name:TOTAL REHAB THERAPY PARTNERS, PLLC
Entity type:Organization
Organization Name:TOTAL REHAB THERAPY PARTNERS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-559-5824
Mailing Address - Street 1:PO BOX 72180
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:IL
Mailing Address - Zip Code:60172-0180
Mailing Address - Country:US
Mailing Address - Phone:630-924-0156
Mailing Address - Fax:630-924-0462
Practice Address - Street 1:4920 N CENTRAL AVE STE 1A
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-2345
Practice Address - Country:US
Practice Address - Phone:773-701-8048
Practice Address - Fax:630-924-0462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty