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NPI Code Detail

MEDICARE: INTEGRATED REHAB CONSULTANTS LLC

MEDICARE: INTEGRATED REHAB CONSULTANTS LLC
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
1208100000XPhysical Medicine & Rehabilitation Physician036125813IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528379195
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRATED REHAB CONSULTANTS LLC
Provider Business Mailing Address
First Line : PO BOX 74008272
Second Line :
City : CHICAGO
State : IL
Zip : 60674-8272
Country : US
Telephone Number : 725-710-9208
Fax Number : 312-635-0050
Provider Business Practice Location Address
First Line : 401 N MICHIGAN AVENUE
Second Line : SUITE 1200
City : CHICAGO
State : IL
Zip : 60611-4264
Country : US
Telephone Number : 725-710-9208
Fax Number : 312-635-0050
Authorized Official
Title or Position : CEO
Name : DR. AMISH MANU PATEL
Credential :
Telephone Number : 725-710-9208
Provider Enumeration Date : 06/29/2010
Last Update Date : 08/22/2025

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