MEDICARE: IT'S A GOLDEN OPPORTUNITY, INC

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	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)	14-6589	IL

General Provider Information

NPI Number	:	1699952721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IT'S A GOLDEN OPPORTUNITY, INC

Provider Business Mailing Address
First Line	:	1706 SUPERIOR AVE
Second Line	:
City	:	SAVANNA
State	:	IL
Zip	:	61074-2424
Country	:	US
Telephone Number	:	815-541-1857
Fax Number	:	815-273-4354

Provider Business Practice Location Address
First Line	:	1706 SUPERIOR AVE
Second Line	:
City	:	SAVANNA
State	:	IL
Zip	:	61074-2424
Country	:	US
Telephone Number	:	815-541-1857
Fax Number	:	815-273-4354

Authorized Official
Title or Position	:	SEC'Y/CFO
Name	:	MS. JEANNE RANE BYERS SPRAETZ
Credential	:	MA CCC SLP
Telephone Number	:	815-541-1857

Provider Enumeration Date	:	01/31/2008
Last Update Date	:	01/31/2008

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