PRAIRIE STATE REHAB, LLC
NPI 1700482114
Physical Medicine & Rehabilitation in Chicago, IL

Active since December 10, 2020
711 S DEARBORN ST UNIT 705, CHICAGO, IL 60605(708) 966-9283(708) 258-1632 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Prairie State Rehab, Llc NPPES

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

PRAIRIE STATE REHAB, LLC (NPI 1700482114) is a healthcare organization registered as a physical medicine & rehabilitation in Chicago, Illinois and active in the NPI registry since December 2020. The organization lists Jason Freeman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700482114
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NamePRAIRIE STATE REHAB, LLC
Location Address711 S DEARBORN ST UNIT 705Chicago, IL 60605-3820
Mailing Address711 S Dearborn St Unit 705Chicago, IL 60605-3820 · (708) 966-9283 · Fax (708) 258-1632
Fax(708) 258-1632
Organization SubpartNo
Authorized OfficialJason FreemanCeo · (708) 275-4087
Enumeration DateDecember 10, 2020
NPPES CertifiedDecember 10, 2020
✔ NPI 1700482114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
711 S DEARBORN ST UNIT 705, Chicago, IL 60605

Other Names 1

Doing Business AsPrairie State Rehab, Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prairie State Rehab, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Prairie State Rehab, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Medicine and Rehabilitation
NPI 1104179142
711 S DEARBORN ST UNIT 705
Chicago, IL 60605
(708) 966-9283
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Prairie State Rehab, LLC's NPI number?

The NPI number for Prairie State Rehab, LLC is 1700482114. It was assigned to this organization in the NPPES registry on December 10, 2020.

Where is Prairie State Rehab, LLC located?

Prairie State Rehab, LLC is located at 711 S Dearborn St Unit 705, Chicago, IL 60605. The listed phone number is (708) 966-9283.

What is Prairie State Rehab, LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Prairie State Rehab, LLC enrolled in Medicare?

Yes. Prairie State Rehab, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prairie State Rehab, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Prairie State Rehab, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prairie State Rehab, LLC was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.