Healthcare Provider Details

I. General information

NPI: 1316083850
Provider Name (Legal Business Name): INDUSTRIAL REHABILITATION CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 MADISON STREET
HOPEDALE IL
61747
US

IV. Provider business mailing address

128 MADISON STREET PO BOX 171
HOPEDALE IL
61747
US

V. Phone/Fax

Practice location:
  • Phone: 309-449-5483
  • Fax: 309-449-6218
Mailing address:
  • Phone: 309-449-5483
  • Fax: 309-449-6218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: MR. DARRELL WILLIAM SCHAPMIRE
Title or Position: OWNER
Credential: M.S.
Phone: 309-449-5483