KIRBY REHABILITATION INC NPI 1871966382

NPI Information

NPI: 1871966382
Provider Name: KIRBY REHABILITATION, INC

Doing Business As: KIRBY REHABILITATION

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
723 W. 111TH ST
CHICAGO, IL
ZIP 60628
Phone: (773) 614-4002
Get Directions

KIRBY REHABILITATION, INC is a rehabilitation and substance use disorder clinic center in Chicago, IL. KIRBY REHABILITATION, INC NPI is 1871966382. The provider is registered as an organization entity type.
The provider Is Doing Business As Kirby Rehabilitation.

The provider's business location address is:

723 W. 111TH ST
CHICAGO, IL
ZIP 60628
Phone: (773) 614-4002
Fax: (773) 453-3262

The provider's authorized official is Lea Kirby .
The authorized official title is President and has the following contact phone number (773) 614-4002.

The enumeration date for this NPI number is 11/5/2015 and was last updated on 5/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	CA8419-0001	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CA8419-0001	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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