NPIMap

Organization Active NPI

Illinois Rehabilitation Services LTD.

  • Physical Therapist
  • Lincolnwood, IL
National Provider Identifier
1144464108
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
060.010187 Issued in IL
Legal business name
ILLINOIS REHABILITATION SERVICES LTD.
Practice address
6609 N Lincoln Ave
Suite 110
Lincolnwood, IL 60712-3640
Phone
(773) 575-3399
NPI assigned
Apr 21, 2009
Last updated
Apr 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Marianne B. BagacinaNPI 1205030616
Title
President
Phone
(773) 575-3399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 060.010187 IL Primary

Addresses

Primary practice location

6609 N Lincoln Ave
Suite 110
Lincolnwood, IL 60712-3640

Mailing address

6609 N Lincoln Ave
Suite 110
Lincolnwood, IL 60712-3640

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1144464108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 N LINCOLN AVE",
            "address_2": "SUITE 110",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 N LINCOLN AVE",
            "address_2": "SUITE 110",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123640",
            "telephone_number": "773-575-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS REHABILITATION SERVICES LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "BAGACINA",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-575-3399"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "060.010187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.