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Age Rehab & Medical Fitness — NPI 1184188443, Macomb, IL | NPI Central

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NPI 1184188443

OrganizationActive

Age Rehab & Medical Fitness

NPI 1184188443 · Physical Therapy Clinic/Center · Macomb, IL

Provider details

NPI number: 1184188443
Entity type: Organization
Primary specialty: Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Victor Lidaywa, Owner / Physical Therapist(309) 833-1004

Specialties & taxonomies

Physical Therapy Clinic/CenterPrimary261QP2000X
Ambulatory Health Care Facilities

Practice location

1701 W Jackson St Ste C

Macomb, IL 61455-3175

Phone: (309) 331-3590

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

1701 W Jackson St Ste C

Macomb, IL 61455-3175

Other names (DBA / former)

Doing business as: Age Rehab
Doing business as: Age Rehab

Registry dates

Enumerated: 2019-01-30
Last updated: 2022-02-02
Certified: 2022-02-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.