MEDICARE: SCHWAB REHABILITATION HOSPITAL AND CARE NETWORK

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
1	283X00000X	Rehabilitation Hospital	40455	IL

Other Identifiers

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

General Provider Information

NPI Number	:	1023006566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHWAB REHABILITATION HOSPITAL AND CARE NETWORK

Provider Business Mailing Address
First Line	:	1401 S CALIFORNIA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-1858
Country	:	US
Telephone Number	:	773-522-2010
Fax Number	:	773-257-2555

Provider Business Practice Location Address
First Line	:	3663 PAYSPHERE CIR
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-0036
Country	:	US
Telephone Number	:	773-522-2010
Fax Number	:	773-257-2555

Authorized Official
Title or Position	:	EXECUTIVE VP AND CFO
Name	:	MR. CHUCK WEIS
Credential	:
Telephone Number	:	773-257-6642

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	04/20/2008

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