Contract Details
Facility name
Rehabtech, Inc
Provider ID
P000004999
NPI
1649252412
Tax ID
364141292
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
335 Eisenhower Ln South
Lombard, IL 60148
United States
County
DuPage
Phone
6304244400 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address