| Ground Up Rehab Llc | |
|
1015 W Webster Ave, Chicago, IL 60614-0518 | |
| (773) 802-3229 | |
| Not Available |
| Full Name | Ground Up Rehab Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1015 W Webster Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558143727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Davor Vasiljevic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013464098 PECOS PAC ID: 3375821747 Enrollment ID: I20161107000593 |
| Mailing Address | Practice Location Address |
|---|---|
| Ground Up Rehab Llc 313 W Wolf Point Plz Unit 2002, Chicago, IL 60654-8908 Ph: () - | Ground Up Rehab Llc 1015 W Webster Ave, Chicago, IL 60614-0518 Ph: (773) 802-3229 |
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