International Consulting Group

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

203000284 Issued in IL

Legal business name

INTERNATIONAL CONSULTING GROUP

Doing business as

Icg Assistive Technology Services

Practice address

1467 N Elston Ave Ste 103
Chicago, IL 60642-2449

Phone

(312) 943-3600

Fax

(312) 943-3096

NPI assigned

Feb 12, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Iwona Korzeniowska, PT

Title

President

Phone

(312) 943-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ICG ASSISTIVE TECHNOLOGY SERVICES Doing business as

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1740429836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 N ELSTON AVE STE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422449",
            "telephone_number": "312-943-3600",
            "fax_number": "312-943-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 N ELSTON AVE STE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422449",
            "telephone_number": "312-943-3600",
            "fax_number": "312-943-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL CONSULTING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "KORZENIOWSKA",
        "authorized_official_first_name": "IWONA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-943-3600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "203000284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103034",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICG ASSISTIVE TECHNOLOGY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ICG ASSISTIVE TECHNOLOGY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Chicago, IL
• Providers in Chicago, IL by specialty
• Customized Equipment (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.