NPIMap

Organization Active NPI

I. J. Rehab. Inc.

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1326245499
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
I. J. REHAB. INC.
Practice address
3004 S Pulaski Rd
Chicago, IL 60623-4458
Phone
(773) 521-5300
Fax
(773) 521-5305
NPI assigned
Jul 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Corilise M Willis, OTRNPI 1619002763
Title
President
Phone
(773) 521-5300

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
Occupational Therapist 225X00000X IL Primary

Addresses

Primary practice location

3004 S Pulaski Rd
Chicago, IL 60623-4458

Mailing address

3004 S Pulaski Rd
Chicago, IL 60623-4458
Phone (773) 521-5300

Other identifiers 1

IdentifierTypeStateIssuer
348683850001MedicaidIL

National Provider Directory

National Provider Directory

Locations

3004 S Pulaski Rd
Chicago, IL 60623
Phone (773) 521-5300

Practitioners & affiliated clinicians

Practitioners 6

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": "1183248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326245499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234458",
            "telephone_number": "773-521-5300",
            "fax_number": "773-521-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234458",
            "telephone_number": "773-521-5300",
            "fax_number": "773-521-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I. J. REHAB. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "CORILISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-521-5300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348683850001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • 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.