Midwest Brain Injury Clubhouse

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

MIDWEST BRAIN INJURY CLUBHOUSE

Practice address

1010 N Hooker St
#302
Chicago, IL 60622-4549

Phone

(312) 932-1120

Fax

(312) 932-1140

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Deborah Giesler

Title

Executive Director

Phone

(312) 932-1120

Specialties & licenses 1

Addresses

Tax ID family

Midwest Brain Injury Clubhouse2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Midwest Brain Injury Clubhouse

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1669876033
  NPD tax ID

Locations

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275647315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N HOOKER ST",
            "address_2": "#302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224549",
            "telephone_number": "312-932-1120",
            "fax_number": "312-932-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N HOOKER ST",
            "address_2": "#302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224549",
            "telephone_number": "312-932-1120",
            "fax_number": "312-932-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST BRAIN INJURY CLUBHOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIESLER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "312-932-1120"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Asian Health Association
• Midwest Asian Health Association
• Midwest Associates in Primary Care LTD
• Midwest Back Center
• Midwest Behavioral Associates LLC
• Midwest Brain Injury Clubhouse
• Midwest Cardiac Center SC
• Midwest Care, Inc. (Kin Care, Inc.)
• Midwest Care, Inc. Dba Kin Care, Inc.
• Midwest Chest Consultants LLC

• Voluntary or Charitable Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Voluntary or Charitable Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.