Organization Active NPI

Genesis Rehabilitation

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1528349644
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GENESIS REHABILITATION
Practice address
1522 N. Halsted
Unit a
Chicago, IL 60642
Phone
(317) 439-1411
NPI assigned
Sep 2, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kiley Dianne Kitzinger, M.S.
Title
Speech Language Pathologist
Phone
(317) 439-1411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X IL Primary

Addresses

Primary practice location

1522 N. Halsted
Unit a
Chicago, IL 60642

Mailing address

1522 N Halsted St
Unit a
Chicago, IL 60642-2528
Phone (317) 439-1411

National Provider Directory

National Provider Directory

Locations

1522 N Halsted St
#A
Chicago, IL 60642
Phone (317) 439-1411

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1528349644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 N HALSTED ST",
            "address_2": "UNIT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422528",
            "telephone_number": "317-439-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 N. HALSTED",
            "address_2": "UNIT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60642",
            "telephone_number": "317-439-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KITZINGER",
        "authorized_official_first_name": "KILEY",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "317-439-1411",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2022; 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.