| Icg Rehab Services | |
|
1467 N Elston Ave Ste 103 Chicago IL 60642-2449 | |
| (312) 943-3600 | |
| (312) 943-3096 |
| Full Name | Icg Rehab Services |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 1467 N Elston Ave Ste 103, Chicago, Illinois |
| Authorized Official Name and Position | Iwona Korzeniowska (PRESIDENT) |
| Authorized Official Contact | 3129433600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icg Rehab Services 1467 N Elston Ave Ste 103 Chicago IL 60642-2449 Ph: (312) 943-3600 | Icg Rehab Services 1467 N Elston Ave Ste 103 Chicago IL 60642-2449 Ph: (312) 943-3600 |
| NPI Number | 1942346325 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942346325 | NPI | - | NPPES |
| 103034 | Medicaid | IL |
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