NPIMap

Organization Active NPI

Rehab Medicine Clinic

  • Rehabilitation Hospital
  • Wheaton, IL
National Provider Identifier
1710161591
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
REHAB MEDICINE CLINIC
Practice address
26W171 Roosevelt Road
Wheaton, IL 60187-6078
Phone
(630) 909-6562
Fax
(708) 531-1909
NPI assigned
Dec 28, 2007
Last updated
Dec 28, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
MARIANJOY REHABILITATION HOSPITAL AND CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Mrs. Joella Baker
Title
Manager Patient Financial Services
Phone
(630) 909-6562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

26W171 Roosevelt Road
Wheaton, IL 60187-6078

Mailing address

26W171 Roosevelt Rd
Wheaton, IL 60187-6078
Phone (630) 909-6562

Other names 1

  • CRS Rehabilitation Specialists Other name

National Provider Directory

National Provider Directory
Part of
Noel Rao MD

Locations

12525 Renaissance Cir
Homer Glen, IL 60491
Phone (708) 301-0800

17W682 Butterfield Rd
Ste 100
Oakbrook Terrace, IL 60181
Phone (630) 268-7800

9200 Calumet Ave
Ste N100
Munster, IN 46321
Phone (219) 513-0500

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1710161591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26W171 ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876078",
            "telephone_number": "630-909-6562",
            "fax_number": "708-531-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26W171 ROOSEVELT ROAD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876078",
            "telephone_number": "630-909-6562",
            "fax_number": "708-531-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB MEDICINE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARIANJOY REHABILITATION HOSPITAL AND CLINICS",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JOELLA",
        "authorized_official_title_or_position": "MANAGER PATIENT FINANCIAL SERVICES",
        "authorized_official_telephone_number": "630-909-6562",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRS Rehabilitation Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.