Provider Demographics
NPI:1619705076
Name:ACCOMMODATE, RESTORE & COLLABORATE LLC
Entity type:Organization
Organization Name:ACCOMMODATE, RESTORE & COLLABORATE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MANUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-271-1151
Mailing Address - Street 1:2807 CENTRE CIR
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1030
Mailing Address - Country:US
Mailing Address - Phone:847-271-1151
Mailing Address - Fax:
Practice Address - Street 1:2807 CENTRE CIR
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1030
Practice Address - Country:US
Practice Address - Phone:847-271-1151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy