Provider Demographics
NPI:1861691073
Name:REHABLINK DIRECT DISTRIBUTORS
Entity type:Organization
Organization Name:REHABLINK DIRECT DISTRIBUTORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-671-7334
Mailing Address - Street 1:9910 W 190TH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:MOKENA
Mailing Address - State:IL
Mailing Address - Zip Code:60448-5605
Mailing Address - Country:US
Mailing Address - Phone:773-671-7334
Mailing Address - Fax:
Practice Address - Street 1:9910 W 190TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:MOKENA
Practice Address - State:IL
Practice Address - Zip Code:60448-5605
Practice Address - Country:US
Practice Address - Phone:773-671-7334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies