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1871966382 NPI number — KIRBY REHABILITATION, INC

NPI Number: 1871966382
Health Care Provider/Practitioner: KIRBY REHABILITATION, INC

Information about “1871966382” NPI (KIRBY REHABILITATION, INC) exists in 1871966382 in HTML format HTML  |  1871966382 in plain Text format TXT  |  1871966382 in PDF (Portable Document Format) PDF  |  1871966382 in an XML format XML  formats.

NPI Number : 1871966382 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871966382",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KIRBY REHABILITATION, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "723 W. 111TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60628",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-614-4002",
    "MailingAddressFaxNumber": "773-453-3262",
    "FirstLinePracticeLocationAddress": "723 W. 111TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60628",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-614-4002",
    "PracticeLocationAddressFaxNumber": "773-453-3262",
    "EnumerationDate": "11/05/2015",
    "LastUpdateDate": "11/20/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KIRBY",
    "AuthorizedOfficialFirstName": "LEA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MISS",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "773-614-4002",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QR0405X",
        "TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
        "LicenseNumber": "CA8419-0001",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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