OrganizationActive
River District Rehabilitation, LLC
NPI 1043548563 · Point of Service · Rockford, IL
Provider details
- NPI number
- 1043548563
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Edwin Distrito, Owner(815) 885-2820
- License
- 1990943 (IL)
Specialties & taxonomies
Managed Care Organizations
Practice location
119 N Wyman St
Rockford, IL 61101-1107
Phone: (815) 977-4490
Fax: (815) 977-4594
Approximate (ZIP-level) locationGet directions
Mailing address
12402 Tweed Dr
Loves Park, IL 61111-8959
Registry dates
- Enumerated
- 2009-11-20
- Last updated
- 2009-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.