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GENESIS REHAB SERVICES NPI 1932453347


NPI Information

NPI: 1932453347
Provider Name: GENESIS REHAB SERVICES
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
6700 S KEATING AVE
CHICAGO, IL
ZIP 60629
Phone: (773) 767-6262
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GENESIS REHAB SERVICES is a residential treatment facility physical disabilities in Chicago, IL. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. GENESIS REHAB SERVICES NPI is 1932453347. The provider is registered as an organization entity type.

The provider's business location address is:

6700 S KEATING AVE
CHICAGO, IL
ZIP 60629-660
Phone: (773) 767-6262

The provider's authorized official is Fernando Rodrigue .
The authorized official title is Physical Therapist Assistant and has the following contact phone number (708) 469-8497.

The enumeration date for this NPI number is 11/7/2012 and was last updated on 11/7/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320700000XResidential Treatment Facility, Physical Disabilities160005776ILLINOISYes

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

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