Sovereign Rehabilitation of Illinois, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SOVEREIGN REHABILITATION OF ILLINOIS, LLC

Practice address

390 E Congress Pkwy
Crystal Lake, IL 60014-6202

Phone

(773) 755-7566

NPI assigned

Jun 28, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard Rausch, PT

Title

Senior Vice President

Phone

(773) 755-7566

Specialties & licenses 1

Addresses

Tax ID family

Sovereign Rehab of Il LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Sovereign Rehab

  • Clinic/Center
  • Naperville, IL
  • NPI 1093114498
  NPD tax ID
• Sovereign Rehabilitation of Il, LLC

  • Physical Therapy Clinic/Center
  • Naperville, IL
  • NPI 1184859241
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1013228790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 N SHEFFIELD AVE SUITE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575081",
            "telephone_number": "773-755-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 E CONGRESS PKWY",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146202",
            "telephone_number": "773-755-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN REHABILITATION OF ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "RAUSCH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "773-755-7566",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M. Sorensen, PT
• Chastity Sosa, OTR/L
• Angelica Soto, MSN,APRN,PMHNP-C
• Jawhara Soudagar, PHARMD
• Jillian Souza
• Laura Lynn Sovsky, MS CCC-SLP
• Gabriella Spagnola
• Janice Spangler, PSYD
• Michelle Sparrow, FNP-C
• Speech With Mrs Chris LLC

• Physical Therapy Clinic/Center in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.