Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mtn Proactive Rehab, Ltd

Organization Physical Medicine & Rehabilitation Physician · NPI 1386188589

Mtn Proactive Rehab, Ltd is a Physical Medicine & Rehabilitation Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5614 S Pulaski Rd
Chicago, IL 60629-4420
Phone: (773) 716-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 038010385 (IL)

Record details

NPI number1386188589
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Thompson — Owner · (773) 716-9500
NPI enumeratedDecember 7, 2016
Last updated in NPPESDecember 7, 2016
Mailing address630 N Franklin St Apt 801, Chicago, IL 60654-8353

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