Sovereign Rehabilitation of Illinois LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070007656 Issued in IL

Legal business name

SOVEREIGN REHABILITATION OF ILLINOIS LLC

Practice address

2335 W 95TH St
Chicago, IL 60643-1003

Phone

(773) 755-7566

NPI assigned

Apr 23, 2010

Last updated

Apr 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joan Lawrence

Title

Director

Phone

(773) 755-7566

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Maninang, PT

  • Physical Therapist
  • Chicago, IL
  • NPI 1376671826
  NPD (past)
• Richard Wayne Rausch, PT

  • Physical Therapist
  • Chicago, IL
  • NPI 1700064912
  NPD (past)

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1063739555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 N SHEFFIELD AVE",
            "address_2": "SUITE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431003",
            "telephone_number": "773-755-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN REHABILITATION OF ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-755-7566"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070007656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Frances Sovcik, PHARMD
• Paul Sovcik, PHARMD
• Austin Timothy Sovell
• Sovereign Healthcare
• Sovereign Rehabilitation of Chicago, LTD (Sovereign Rehab of Chicago)
• Sovereign Rehabilitation of Illinois LLC (Sovereign Rehabilitation)
• Sow and Seed Psychotherapy, PLLC
• Diane Sowa, RDN
• Frank Sowa
• Gavin Michael Sowa, MD

• Physical Therapy Clinic/Center in Chicago, IL
• Providers in Chicago, 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 Apr 23, 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.