Contract Details
Accelerated Rehabilitation Centers
Facility name
Occusport Physical Therapy
Provider ID
P000006049
Tax ID
363819982
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.00
Location Details
Address
15635 South 94th Ave
Orland Park, IL 60462
United States
County
Cook
Phone
7084608588 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address