| Ewima Rehab, Llc | |
|
3400 Dundee Rd Ste 230, Northbrook, IL 60062-2334 | |
| (847) 849-1523 | |
| (847) 890-6145 |
| Full Name | Ewima Rehab, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3400 Dundee Rd Ste 230, Northbrook, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396586038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Kaspars Vilems |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457366809 PECOS PAC ID: 5698702215 Enrollment ID: I20060324000591 |
| Provider Name | Mary Bless Lakag Paunilian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356987317 PECOS PAC ID: 2163856386 Enrollment ID: I20191223000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Ewima Rehab, Llc 3400 Dundee Rd Ste 230, Northbrook, IL 60062-2334 Ph: (847) 849-1523 | Ewima Rehab, Llc 3400 Dundee Rd Ste 230, Northbrook, IL 60062-2334 Ph: (847) 849-1523 |
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