| Organization Name: | AZER REHAB SYSTEMS, P.C. |
| NPI Number: | 1013960665 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIE LYTLE (PRACTICE MANAGER) |
| Mailing Address: | 872 W Dayton St Galesburg |
| State: | IL US |
| Postal Code: | 614011503 |
| Phone Number: | 3093443400 |
| Fax Number: | 3093445040 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 09/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |