| Rebound Fitness, Inc. | |
|
666 Dundee Rd Suite 1002 Northbrook IL 60062-2727 | |
| (847) 714-7400 | |
| (224) 723-5546 |
| Full Name | Rebound Fitness, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 666 Dundee Rd, Northbrook, Illinois |
| Authorized Official Name and Position | Greg Cadichon (ATHLETIC TRAINER/OWNER) |
| Authorized Official Contact | 8477147400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebound Fitness, Inc. 666 Dundee Rd Suite 1002 Northbrook IL 60062-2727 Ph: (847) 714-7400 | Rebound Fitness, Inc. 666 Dundee Rd Suite 1002 Northbrook IL 60062-2727 Ph: (847) 714-7400 |
| NPI Number | 1619944378 |
|---|---|
| Provider Enumeration Date | 03/01/2006 |
| Last Update Date | 12/08/2015 |
| Medicare PECOS PAC ID | 2961688700 |
|---|---|
| Medicare Enrollment ID | O20110512000406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619944378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 096000933 (Illinois) | Primary |
| Provider Name | Rebecca Mendoza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306977152 PECOS PAC ID: 7416033469 Enrollment ID: I20080401000106 |
| Provider Name | Colleen Mcguire Levitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558344911 PECOS PAC ID: 6204845852 Enrollment ID: I20131014000553 |
| Provider Name | Jianrong Hong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053886689 PECOS PAC ID: 8729325386 Enrollment ID: I20190122000580 |
| Provider Name | Ryan Swanson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780292268 PECOS PAC ID: 6406274273 Enrollment ID: I20200910000789 |
| Provider Name | Brigid N Walsh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376022723 PECOS PAC ID: 6305236787 Enrollment ID: I20211129000119 |
| Provider Name | Justin Aquino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306356662 PECOS PAC ID: 0042578106 Enrollment ID: I20230906000063 |
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