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NPI Code Detail

MEDICARE: REHABILITATION INSTITUTE OF CHICAGO

MEDICARE: REHABILITATION INSTITUTE OF CHICAGO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1283X00000XRehabilitation Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1354OTHERILBLUE CROSS

General Provider Information

NPI Number : 1205879095
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHABILITATION INSTITUTE OF CHICAGO
Provider Business Mailing Address
First Line : 355 E ERIE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3167
Country : US
Telephone Number : 312-238-4270
Fax Number : 312-238-7569
Provider Business Practice Location Address
First Line : 355 E ERIE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3167
Country : US
Telephone Number : 312-238-4270
Fax Number : 312-238-7569
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : JONTHAN TINGSTAD
Credential : CPA
Telephone Number : 312-238-1000
Provider Enumeration Date : 06/13/2006
Last Update Date : 04/10/2019

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Directions to “REHABILITATION INSTITUTE OF CHICAGO ” Practice Location

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