14D2150562 CLIA NUMBER - NORTHWEST COMMUNITY HOSPITAL DAY REHAB PROGRAM

Laboratory Demographics

CLIA Number: 14D2150562

Facility Name: NORTHWEST COMMUNITY HOSPITAL DAY REHAB PROGRAM

Facility Address:
3300 KIRCHOFF RD
ROLLING MEADOWS, IL
ZIP 60008
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Facility Phone Number: (847) 618-3560

Facility Type: COMPREHENSIVE OUTPATIENT REHAB

Certificate Type: Waiver

NPI Number: 1669530556

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name Field Value
CLIA Number 14D2150562
LAB Type COMPREHENSIVE OUTPATIENT REHAB
Facility Name NORTHWEST COMMUNITY HOSPITAL DAY REHAB PROGRAM
Street 3300 KIRCHOFF RD
City ROLLING MEADOWS
State IL
ZIP 60008
Phone (847) 618-3560

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This page was last updated on: 5/11/2023