SOVEREIGN REHABILITATION OF ILLINOIS LLC
Physical Therapy at 95 St, Chicago, IL

License number
Illinois 070007656
Category
Ambulatory Health
Type
Physical Therapy
Owner
Name: JOAN LAWRENCE
Title: DIRECTOR
Phone: (773) 755-7566
Address
Address
2335 W 95Th St, Chicago, IL 60643
National Provider ID: 1063739555
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SOVEREIGN REHABILITATION OF ILLINOIS, LLC

2835 N Sheffield, Chicago, IL 60657

Industry:
Health Practitioner's Office Medical Doctor's Office
Registration:
Mar 10, 2008
Phone:
(773) 755-7566 (Phone)
State ID:
02679434
Business type:
Domestic LLC
Expiration:
PERPETUAL
Chief Financial Officers:
Richard W. Rausch (President),Robert G. Rouse Chief Executive Officer, Member, Mbr-ceo, inactive,William D. King Chief Financial Officer, inactive
Agent:
Richard W Rausch,1740 N Clark St UNIT 1729, Chicago, IL 60614 (Physical)

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