Active NPI
Illinois Rehab Providers, Inc.
- Physical Medicine & Rehabilitation Physician
- Skokie, IL
National Provider Identifier
1871801423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Haidi Soriano, PHYSICAL THERAPIST
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273348633 | Medicaid | IL | |
| 273348633 | Other | IL | BCBS OF ILLINOIS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Skokie, IL
- NPI 1699084533
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
- Illinois Center for Trauma and Addiction Treatment LLC
- Illinois Dermatology Institute, LLC
- Illinois Healthcare Services, LLC.
- Illinois Home Therapy LLC
- Illinois Professional Home Health, Inc.
- Immaculate Home Health, Inc.
- Imperial of Hazelcrest
- In Home Caregivers LLC
- In-Step Mobility Products Corporation
- Avinash Inabathula, MD
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.