MEDICARE: INJURY CENTERS OF ILLINOIS

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
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1265021067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INJURY CENTERS OF ILLINOIS

Provider Business Mailing Address
First Line	:	1604 SIBLEY BLVD
Second Line	:
City	:	CALUMET CITY
State	:	IL
Zip	:	60409-2231
Country	:	US
Telephone Number	:	708-360-3258
Fax Number	:

Provider Business Practice Location Address
First Line	:	1604 SIBLEY BLVD
Second Line	:
City	:	CALUMET CITY
State	:	IL
Zip	:	60409-2231
Country	:	US
Telephone Number	:	708-360-3258
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	THOMAS P DZIELAWSKI
Credential	:	DC
Telephone Number	:	773-969-4777

Provider Enumeration Date	:	01/15/2021
Last Update Date	:	01/15/2021

Similar Medicare Providers

1558476812 — DR. ITASCA L WAITERS D.C
Practice Location Address:

1604 SIBLEY BLVD
CALUMET CITY, IL
60409-2231

Practice Phone: 708-323-7691
Practice Fax: 708-753-6214

1891964375 — BRIGHT SUN HEALTH CARE, INC
Practice Location Address:

1604 SIBLEY BLVD
CALUMET CITY, IL
60409-2231

Practice Phone: 708-891-2006
Practice Fax:

1447560552 — H & M MEDICAL, S.C.
Practice Location Address:

1604 SIBLEY BLVD
CALUMET CITY, IL
60409-2231

Practice Phone: 877-797-0707
Practice Fax: 708-780-1237

1194300814 — THOMAS JOHN AMBROSE DC
Practice Location Address:

1604 SIBLEY BLVD
CALUMET CITY, IL
60409-2231

Practice Phone: 708-745-1086
Practice Fax:

1295740173 — DR. NAOUM A BALADI M.D.
Practice Location Address:

1800 SULLIVAN AVE , SUITE 407
DALY CITY, CA
94015-2231

Practice Phone: 650-636-4462
Practice Fax: 650-636-4463

1114937570 — NANCY L THOMAS MSW INC
Practice Location Address:

810 W FRONTVIEW ST
DODGE CITY, KS
67801-2231

Practice Phone: 620-227-7823
Practice Fax: 620-227-8451

Directions to “INJURY CENTERS OF ILLINOIS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.