| Organization Name: | ALLIANCE REHAB AND WELLNESS |
| NPI Number: | 1841514965 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ASIM M SHAZZAD (CEO) |
| Mailing Address: | 611 E Mondamin St Minooka |
| State: | IL US |
| Postal Code: | 604478425 |
| Phone Number: | 6309659007 |
| Fax Number: | 8154832374 |
| NPI Enumeration Date: | 03/18/2010 |
| NPI Last Update Date: | 03/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |