Illinois Center for Rehabilitation and Education

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

ILLINOIS CENTER FOR REHABILITATION AND EDUCATION

Practice address

1950 W Roosevelt Rd
Chicago, IL 60608-1245

Phone

(312) 433-3110

Fax

(312) 433-3180

NPI assigned

Sep 10, 2007

Organization subpart

Yes

Parent organization

ILLINOIS DEPARTMENT OF HUMAN SERVICESAs reported in NPPES

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

Authorized official

Name

Mrs. Therese Manderino

Title

Superintendent

Phone

(312) 433-3121

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Howe Center - Unit 4264

Locations

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1467647883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W LAWRENCE AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627042625",
            "telephone_number": "217-524-4089",
            "fax_number": "217-524-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081245",
            "telephone_number": "312-433-3110",
            "fax_number": "312-433-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS CENTER FOR REHABILITATION AND EDUCATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ILLINOIS DEPARTMENT OF HUMAN SERVICES",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "MANDERINO",
        "authorized_official_first_name": "THERESE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "312-433-3121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376002057003",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Chicago, IL
• Providers in Chicago, IL by specialty
• Local Education Agency (LEA) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.