| Kirby Rehabilitation, Inc | |
|
14014 Park Ave Dolton IL 60419-1029 | |
| (773) 614-4002 | |
| Not Available |
| Full Name | Kirby Rehabilitation, Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 14014 Park Ave, Dolton, Illinois |
| Authorized Official Name and Position | Lea Kirby (CEO) |
| Authorized Official Contact | 7736144002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirby Rehabilitation, Inc 600 Holiday Plaza Dr Ste 170 Matteson IL 60443-2236 Ph: (708) 248-6305 | Kirby Rehabilitation, Inc 14014 Park Ave Dolton IL 60419-1029 Ph: (773) 614-4002 |
| NPI Number | 1841948650 |
|---|---|
| Provider Enumeration Date | 03/11/2022 |
| Last Update Date | 03/11/2022 |
| Certification Date | 03/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841948650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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