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

Prairie State Rehab, LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1700482114

Prairie State Rehab, LLC is a Physical Medicine & Rehabilitation Physician in Chicago, Illinois. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

711 S Dearborn St Unit 705
Chicago, IL 60605-3820
Phone: (708) 966-9283
Fax: (708) 258-1632
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1700482114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Freeman — Ceo · (708) 275-4087
Other names Prairie State Rehab, Llc
NPI enumeratedDecember 10, 2020
Last updated in NPPESDecember 10, 2020
Certification dateDecember 10, 2020
Mailing address711 S Dearborn St Unit 705, Chicago, IL 60605-3820

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