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POWERBACK REHABILITATION LLC
NPI 1598742207
Clinic/Center - Rehabilitation in Northlake, IL

Active since December 23, 2005
401 W LAKE ST, NORTHLAKE, IL 60164(708) 384-8073 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 27, 2023, Feb 22, 2022, Feb 13, 2018 and 1 more (4 updates tracked since 2016).

About Powerback Rehabilitation Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POWERBACK REHABILITATION LLC (NPI 1598742207) is a healthcare organization registered as a rehabilitation in Northlake, Illinois and active in the NPI registry since December 2005. The organization lists Carl Anthony Shrom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1598742207
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NamePOWERBACK REHABILITATION LLC
Location Address401 W LAKE STNorthlake, IL 60164-2435
Mailing Address101 E State St, C/o Amy NunemakerKennett Square, PA 19348-3109 · (610) 925-4560
Phone(708) 384-8073
Organization SubpartNo
Authorized OfficialCarl Anthony ShromCeo · (215) 896-0422
Enumeration DateDecember 23, 2005
Last NPPES UpdateFebruary 27, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
✔ NPI 1598742207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
401 W LAKE ST, Northlake, IL 60164
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTERNATIONAL HEALTH SYSTEMS
Assisted Living Facility
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (708) 562-9000
MS. KRISTINA RENEE PARRO SLP
Speech-Language Pathologist
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (779) 901-0298
DIVINE PROVIDENCE OUTPATIENT THERAPY SERVICES, LLC
Clinic/Center (Rehabilitation)
401 W LAKE ST, SUITE B-101 CONCORD PLACE
NORTHLAKE, IL 60164
Cook County (773) 433-3320
DENICE SYKES
Occupational Therapy Assistant
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (855) 477-5627
PRIME CARE LTC CONSULTING INC
Internal Medicine
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (708) 409-2318
ELENA EVERHART
Speech-Language Pathologist
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (708) 223-0494
KYLE TANZILLO MOT, OTR/L
Occupational Therapist
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (708) 365-9251
KAITLYN DANIELLE VESEVICK AGPCNP-BC, DNP
General Practice
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (630) 640-9460

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Powerback Rehabilitation LLC's NPI number?

The NPI number for Powerback Rehabilitation LLC is 1598742207. It was assigned to this organization in the NPPES registry on December 23, 2005.

Where is Powerback Rehabilitation LLC located?

Powerback Rehabilitation LLC is located at 401 W Lake St, Northlake, IL 60164. The listed phone number is (708) 384-8073.

What is Powerback Rehabilitation LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Powerback Rehabilitation LLC was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.