Provider Demographics
NPI:1992330799
Name:COMPLETE REHAB AND CONSULTATION INC
Entity type:Organization
Organization Name:COMPLETE REHAB AND CONSULTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ALELI
Authorized Official - Middle Name:
Authorized Official - Last Name:CUYUGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-717-5346
Mailing Address - Street 1:120 SONOMA RD
Mailing Address - Street 2:
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-3291
Mailing Address - Country:US
Mailing Address - Phone:815-582-4357
Mailing Address - Fax:815-461-1389
Practice Address - Street 1:120 SONOMA RD
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-3291
Practice Address - Country:US
Practice Address - Phone:815-582-4357
Practice Address - Fax:815-461-1389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-12
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty