OrganizationSuperior Rehab Center LlcPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4801 W Peterson Ave, 615, Chicago, IL 60646-5713(773) 283-4200(773) 767-3822PECOS EnrollmentBased on the most recent information from CMS, provider Superior Rehab Center Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1982018461Provider TypeOrganizationFull NameSuperior Rehab Center LlcSubpartNoEnumeration Date6/12/2014Last Updated6/12/2014Contact InformationPractice LocationPractice Address4801 W Peterson Ave, 615, Chicago, IL 60646-5713Phone(773) 283-4200Fax(773) 283-4209Mailing LocationMailing Address677 Wildrose Cir, Lake Villa, IL 60046-9021Phone(773) 767-3822Fax(773) 337-9106Authorized OfficialNameGomez, Roger (Owner)Phone(773) 767-3822Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer