OrganizationActive
Prarie State Rehabilitation, LLC
NPI 1770050668 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Palos Heights, IL
Provider details
- NPI number
- 1770050668
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jason Freeman, Owner(708) 275-4087
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
12220 S Cheyenne Dr
Palos Heights, IL 60463-1654
Phone: (708) 275-4087
Approximate (ZIP-level) locationGet directions
Mailing address
12220 S Cheyenne Dr
Palos Heights, IL 60463-1654
Registry dates
- Enumerated
- 2018-10-29
- Last updated
- 2018-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.