Healthcare Provider Details

I. General information

NPI: 1700968492
Provider Name (Legal Business Name): SCHWAB REHABILITATION HOSPITAL AND CARE NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 03/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 S CALIFORNIA AVE
CHICAGO IL
60608-1858
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:
Mailing address:
  • Phone: 773-522-2010
  • Fax: 773-257-2555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0002147
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number40454
License Number StateIL

VIII. Authorized Official

Name: MR. CHARLES WEIS
Title or Position: VP FINANCE
Credential:
Phone: 773-257-6462