NPI 1932453347

Genesis Rehab Services

Organisation Physical Disabilities Residential Treatment Facility Chicago, IL

Practice location

Address: 6700 S Keating Ave, Chicago, IL 60629-5660
Phone: (773) 767-6262
Mailing address: 2239 Burr Oak Ave, North Riverside, IL 60546-1317

Authorised official

Name: Fernando Rodrigue
Title: Physical Therapist Assistant
Phone: (708) 469-8497

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 160005776 (IL)

Other Residential Treatment Facility, Physical Disabilities providers in Illinois →

Registry record

NPI: 1932453347
Entity type: Organization
NPI issued: 7 Nov 2012
Record last updated: 7 Nov 2012

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.