Organization Active NPI

Work Hardening of West Loop

  • Rehabilitation Clinic/Center
  • Chicago, IL
National Provider Identifier
1932361623
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
66437582 Issued in IL
Legal business name
WORK HARDENING OF WEST LOOP
Practice address
601 W Randolph St
Chicago, IL 60661-2232
Phone
(312) 798-7246
Fax
(312) 798-7247
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Roberto Diaz
Title
President
Phone
(773) 878-7909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 66437582 IL Primary

Addresses

Primary practice location

601 W Randolph St
Chicago, IL 60661-2232

Mailing address

5252 N Western Ave
Chicago, IL 60625-2448
Phone (773) 878-7909

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1932361623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252448",
            "telephone_number": "773-878-7909",
            "fax_number": "773-878-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W RANDOLPH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612232",
            "telephone_number": "312-798-7246",
            "fax_number": "312-798-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORK HARDENING OF WEST LOOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-878-7909"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IL",
            "license": "66437582",
            "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 Jun 25, 2008; 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.