SOVEREIGN REHABILITATION OF ILLINOIS, LLC (NPI# 1013228790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013228790 |
| Entity Type | Organization |
| Organization Name | SOVEREIGN REHABILITATION OF ILLINOIS, LLC |
| Practice Address |
390 E Congress Pkwy Crystal Lake IL 60014-6202 |
| Mailing Address |
2835 N Sheffield Ave Suite 401 Chicago IL 60657-5081 |
| Practice Telephone | 7737557566 |
| Mailing Telephone | 7737557566 |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2010-06-28 |
| Authorized Official Name | MR. RICHARD RAUSCH (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7737557566 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
390 E CONGRESS PKWY |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790887040 | Jeana Altman | Counselor | 390 E Congress Pkwy, Suite J, Crystal Lake, IL 60014-6202 | 2006-09-05 |
| 1851812507 | Amy Lynn Boyce | Audiologist | 390 E Congress Pkwy, Crystal Lake, IL 60014 | 2017-07-03 |
| 1730632407 | Joanna Hutson | Nurse Practitioner | 390 E Congress Pkwy, Suite C, Crystal Lake, IL 60014-6202 | 2016-07-29 |
| 1134578453 | Nicole A Glinski | Occupational Therapy Assistant | 390 E Congress Pkwy, Crystal Lake, IL 60014-6202 | 2016-06-07 |
| 1447634472 | Allyson D Weiss | Audiologist | 390 E Congress Pkwy, Crystal Lake, IL 60014-6202 | 2015-07-20 |
| 1497137657 | Kathleen Lepage | Speech-Language Pathologist | 390 E Congress Pkwy, Crystal Lake, IL 60014-6202 | 2015-06-24 |
| 1518367911 | Colleen Ann Rodgers | Occupational Therapy Assistant | 390 E Congress Pkwy, Crystal Lake, IL 60014-6202 | 2014-09-04 |
| 1225453459 | Steve J Kim | Counselor | 390 E Congress Pkwy, Suite J, Crystal Lake, IL 60014-6202 | 2014-02-25 |
| 1720425465 | Carissa Lynn Thiele | Speech-Language Pathologist | 390 E Congress Pkwy, Suite A, Crystal Lake, IL 60014-6202 | 2013-06-03 |
| 1104175447 | Paula Frances Fick | Occupational Therapist | 390 E Congress Pkwy, Suite A, Crystal Lake, IL 60014-6202 | 2012-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114486834 | Athletico, Ltd. | Clinic/Center | 750 E Terra Cotta Ave Ste D, Crystal Lake, IL 60014-3621 | 2019-03-13 |
| 1366910937 | Advanced Pain Rehab Inc | Clinic/Center | 7115 Virginia Rd Ste 122, Crystal Lake, IL 60014-3110 | 2018-11-13 |
| 1326404682 | Crystal Lake Physical Therapy Inc | Clinic/Center | 530 Rockland Rd Ste 500, Crystal Lake, IL 60014-4137 | 2016-01-01 |
| 1053506451 | Given Sports & Physical Therapy, P.C. | Clinic/Center | 540 E Terra Cotta Ave, Suite G, Crystal Lake, IL 60014-3652 | 2007-09-09 |
| 1538204508 | Midwest Physical Therapy Ctr | Clinic/Center | 630 N Rt 31, Suite 103, Crystal Lake, IL 60012 | 2007-02-20 |
| 1396119988 | Smith Physical Therapy and Running Academy, LLC | Clinic/Center | 215 Exchange Dr, Suite E, Crystal Lake, IL 60014-6206 | 2015-11-19 |
| 1366783797 | Ace Therapy Services of Illinois, Inc. | Clinic/Center | 7105 Virginia Rd, Suite 10, Crystal Lake, IL 60014-7985 | 2013-03-11 |
| 1235427535 | Perfect Performance Physical Therapy Inc | Clinic/Center | 930 Pyott Rd, Suite 102, Crystal Lake, IL 60014-8720 | 2011-07-20 |
| 1457535452 | Associates In Orthopaedic Surgery | Clinic/Center | 630 N Rt 31, Suite 103, Crystal Lake, IL 60012 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790336 | Priority You Physical Therapy and Wellness, Pllc | Clinic/Center | 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 | 2020-11-03 |
| 1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
| 1528666468 | Chicago Pelvic Health and Wellness, LLC | Clinic/Center | 1020 E Ogden Ave Ste 309, Naperville, IL 60563-8611 | 2020-10-13 |
| 1548876063 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 1000 Commerce Court, Suite 101, Bensenville, IL 60106 | 2020-09-21 |
| 1518573963 | Better Play Performance & Rehab Pllc | Clinic/Center | 1201 Waters Edge Rd, Champaign, IL 61822-8101 | 2020-09-21 |
| 1548876329 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 17130 Prime Blvd Ste 101, Lockport, IL 60441-1311 | 2020-09-17 |
| 1124631676 | Leena Bird Physical Therapy Pllc | Clinic/Center | 400 Prairie Knoll Dr, Naperville, IL 60565-4154 | 2020-08-25 |
| 1831702232 | Pararmount Physical Therapy LLC | Clinic/Center | 2960 Artesian Rd Ste 152, Naperville, IL 60564-4876 | 2020-08-25 |
| 1487263851 | Priority You Physical Therapy and Wellness Pllc | Clinic/Center | 2101 Alpine Way, Plainfield, IL 60586-5079 | 2020-07-30 |
| 1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on SOVEREIGN REHABILITATION OF ILLINOIS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.