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

Presbyterian Homes Outpatient Rehabilitation Agency LLC

Organization Rehabilitation Clinic/Center · NPI 1306243852

Presbyterian Homes Outpatient Rehabilitation Agency LLC is a Rehabilitation Clinic/Center in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3200 Grant St
Evanston, IL 60201-1903
Phone: (847) 492-2940
Fax: (847) 492-2850
Show map & directions

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

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X (IL)

Record details

NPI number1306243852
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPresbyterian Homes Manager LLC
Authorized official Mark Havrilka — Chief Financial Officer · (847) 979-3904
NPI enumeratedNovember 28, 2014
Last updated in NPPESOctober 8, 2021
Certification dateOctober 8, 2021
Mailing address8707 Skokie Blvd Ste 400, Skokie, IL 60077-2283