Organization Active NPI

Sedgebrook Inc.

Doing business as Sedgebrook Outpatient Rehabilitation

  • Rehabilitation Clinic/Center
  • Lincolnshire, IL
National Provider Identifier
1306910500
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
SEDGEBROOK INC.
Doing business as
Sedgebrook Outpatient Rehabilitation
Practice address
840 Audubon Way
Lincolnshire, IL 60069-3835
Phone
(847) 876-2336
NPI assigned
Nov 20, 2006
Last updated
Aug 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Authorized official

Name
Mr. Ian Brown
Title
Executive Director
Phone
(847) 876-2199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

840 Audubon Way
Lincolnshire, IL 60069-3835

Mailing address

800 Audubon Way
Lincolnshire, IL 60069-3811
Phone (847) 876-2336

Other names 1

  • Sedgebrook Outpatient Rehabilitation Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1306910500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUDUBON WAY",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693811",
            "telephone_number": "847-876-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 AUDUBON WAY",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693835",
            "telephone_number": "847-876-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDGEBROOK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-876-2199",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sedgebrook Outpatient Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincolnshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.