Active NPI
Rehab Services (Hubbard St), S.C.
- Psychologist
- Chicago, IL
National Provider Identifier
1750594073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- REHAB SERVICES (HUBBARD ST), S.C.
- Practice address
- 2440 W Hubbard St
Chicago, IL 60612-1435 - Phone
- (773) 463-1313
- Fax
- (773) 463-5311
- NPI assigned
- May 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Berger
- Title
- Ceo
- Phone
- (773) 519-0500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
2440 W Hubbard St
Chicago, IL 60612-1435
Mailing address
3553 W Peterson Ave
Suite 300
Chicago, IL 60659-3200
Phone (773) 463-1313
National Provider Directory
National Provider DirectoryLocations
3553 W Peterson Ave
Ste 300
Chicago, IL 60659
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Willowbrook, IL
- NPI 1225171614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750594073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3553 W PETERSON AVE",
"address_2": "SUITE 300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606593200",
"telephone_number": "773-463-1313",
"fax_number": "773-463-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 W HUBBARD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606121435",
"telephone_number": "773-463-1313",
"fax_number": "773-463-5311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB SERVICES (HUBBARD ST), S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BERGER",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "773-519-0500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.