NPI 1275647315

Midwest Brain Injury Clubhouse

Organisation Voluntary or Charitable Agency Chicago, IL

Practice location

Address: 1010 N Hooker St #302, Chicago, IL 60622-4549
Phone: (312) 932-1120
Fax: (312) 932-1140

Authorised official

Name: Deborah Giesler
Title: Executive Director
Phone: (312) 932-1120

Registered specialties

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X

Other Voluntary or Charitable providers in Illinois →

Registry record

NPI: 1275647315
Entity type: Organization
NPI issued: 18 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.