Organization Active NPI

Illinois Rehab Providers, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Skokie, IL
National Provider Identifier
1871801423
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ILLINOIS REHAB PROVIDERS, INC.
Practice address
5139 Dempster St
Skokie, IL 60077-1802
Phone
(847) 414-0291
NPI assigned
Sep 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Ms. Haidi Soriano, PHYSICAL THERAPISTNPI 1699084533
Title
President
Phone
(847) 414-0291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X IL Primary

Addresses

Primary practice location

5139 Dempster St
Skokie, IL 60077-1802

Mailing address

5139 Dempster St
Skokie, IL 60077-1802
Phone (847) 414-0291

Other identifiers 2

IdentifierTypeStateIssuer
273348633MedicaidIL
273348633OtherILBCBS OF ILLINOIS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1871801423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5139 DEMPSTER ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771802",
            "telephone_number": "847-414-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5139 DEMPSTER ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771802",
            "telephone_number": "847-414-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS REHAB PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "HAIDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-414-0291",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273348633",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "273348633",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.