Symbria Rehab, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

5383 Issued in IL

Legal business name

SYMBRIA REHAB, INC.

Practice address

161 Northfield Rd
Northfield, IL 60093-3309

Phone

(630) 413-5823

Fax

(630) 413-5892

NPI assigned

Dec 28, 2015

Organization subpart

Yes

Parent organization

SYMBRIA, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jill Krueger, 6304135810

Title

President/Ceo

Phone

(630) 413-5810

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1013372580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28100 TORCH PKWY",
            "address_2": "SUITE 600",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553938",
            "telephone_number": "630-413-5800",
            "fax_number": "630-413-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 NORTHFIELD RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933309",
            "telephone_number": "630-413-5823",
            "fax_number": "630-413-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMBRIA REHAB, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYMBRIA, INC",
        "enumeration_date": "2015-12-28",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "630-413-5810",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "6304135810"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IL",
            "license": "5383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Northfield, IL
• Providers in Northfield, IL by specialty
• Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.