Healthcare Provider Details

I. General information

NPI: 1023006566
Provider Name (Legal Business Name): SCHWAB REHABILITATION HOSPITAL AND CARE NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3663 PAYSPHERE CIR
CHICAGO IL
60674-0036
US

IV. Provider business mailing address

1401 S CALIFORNIA AVE
CHICAGO IL
60608-1858
US

V. Phone/Fax

Practice location:
  • Phone: 773-522-2010
  • Fax: 773-257-2555
Mailing address:
  • Phone: 773-522-2010
  • Fax: 773-257-2555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number40455
License Number StateIL

VIII. Authorized Official

Name: MR. CHUCK WEIS
Title or Position: EXECUTIVE VP AND CFO
Credential:
Phone: 773-257-6642