Kirby Rehabilitation, Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

CA8419-0001 Issued in IL

Legal business name

KIRBY REHABILITATION, INC

Practice address

723 W. 111TH St
Chicago, IL 60628

Phone

(773) 614-4002

Fax

(773) 453-3262

NPI assigned

Nov 5, 2015

Organization subpart

No

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

Authorized official

Name

Miss Lea KirbyNPI 1790646578

Title

President

Phone

(773) 614-4002

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kirby Rehabilitation Doing business as

Tax ID family

Kirby Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kirby Rehabilitation, Inc

  • Adult Mental Health Clinic/Center
  • Dolton, IL
  • NPI 1841948650
  NPD tax ID

Practitioners 1

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

• Lea Kirby

  • Addiction (Substance Use Disorder) Counselor
  • Chicago, IL
  • NPI 1790646578
  NPD Authorized official

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1871966382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 W. 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60628",
            "telephone_number": "773-614-4002",
            "fax_number": "773-453-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 W. 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60628",
            "telephone_number": "773-614-4002",
            "fax_number": "773-453-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-614-4002",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "CA8419-0001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CA8419-0001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirby Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kirby Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kiran P Amin MDSC
• Kiran Polavarapu MD SC
• Gina Strumolo Kirberg
• Kirby Johnson
• Kirby Johnson
• Alana Elizabeth Kirby, M.D., PH.D.
• Elaine Ann Kirby
• Elle Nicole Kirby, LCSW
• Eric Kirby, OTR/L CHT
• Hannah Kirby, BA

• Substance Use Disorder Rehabilitation Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.