PRARIE STATE REHABILITATION, LLC
NPI 1770050668
Physical Medicine & Rehabilitation - Pain Medicine in Palos Heights, IL

Active since October 29, 2018
12220 S CHEYENNE DR, PALOS HEIGHTS, IL 60463(708) 275-4087 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prarie State Rehabilitation, Llc NPPES

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

PRARIE STATE REHABILITATION, LLC (NPI 1770050668) is a healthcare organization registered as a pain medicine in Palos Heights, Illinois and active in the NPI registry since October 2018. The organization lists Jason Douglas Freeman, Owner, as its authorized official.

NPPES Registry Identity

NPI1770050668
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NamePRARIE STATE REHABILITATION, LLC
Location Address12220 S CHEYENNE DRPalos Heights, IL 60463-1654
Mailing Address12220 S Cheyenne DrPalos Heights, IL 60463-1654 · (708) 275-4087
Organization SubpartNo
Authorized OfficialJason Douglas FreemanOwner · (708) 275-4087
Enumeration DateOctober 29, 2018
NPI 1770050668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
12220 S CHEYENNE DR, Palos Heights, IL 60463

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

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 Prarie State Rehabilitation, LLC's NPI number?

The NPI number for Prarie State Rehabilitation, LLC is 1770050668. It was assigned to this organization in the NPPES registry on October 29, 2018.

Where is Prarie State Rehabilitation, LLC located?

Prarie State Rehabilitation, LLC is located at 12220 S Cheyenne Dr, Palos Heights, IL 60463. The listed phone number is (708) 275-4087.

What is Prarie State Rehabilitation, LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Prarie State Rehabilitation, LLC was last updated on October 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.