NPIMap

Organization Active NPI

Deer Rehabilitation Services Inc

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1609108539
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180003346 Issued in IL
Legal business name
DEER REHABILITATION SERVICES INC
Practice address
3936 W Roosevelt Rd
Chicago, IL 60624-4389
Phone
(773) 826-0398
Fax
(773) 826-2327
NPI assigned
Feb 3, 2010
Last updated
May 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Dr. Dennis Deer, DOCTOR OF COUNSELING
Title
President
Phone
(773) 826-0398

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X A51920001A IL
Professional Counselor 101YP2500X 180003346 IL Primary

Addresses

Primary practice location

3936 W Roosevelt Rd
Chicago, IL 60624-4389

Mailing address

3936 W Roosevelt Rd
Chicago, IL 60624-4389
Phone (773) 826-0398

National Provider Directory

National Provider Directory
Tax ID family
Deer Rehabilitation Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1609108539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606244389",
            "telephone_number": "773-826-0398",
            "fax_number": "773-826-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3936 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606244389",
            "telephone_number": "773-826-0398",
            "fax_number": "773-826-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER REHABILITATION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "DEER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-826-0398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTOR OF COUNSELING"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "A51920001A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180003346",
            "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 May 20, 2014; 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.