Midwest Brain Injury Clubhouse in Chicago - Voluntary Or Charitable

Midwest Brain Injury Clubhouse - NPI 1275647315

Midwest Brain Injury Clubhouse is a Voluntary Or Charitable in Chicago, Illinois. Midwest Brain Injury Clubhouse practices all healthcare services and medical treatments related to Voluntary Or Charitable. The NPI Number for Midwest Brain Injury Clubhouse is 1275647315. The last update date is 2020-08-22.

Midwest Brain Injury Clubhouse's current location address is 1010 N Hooker St, Chicago, Illinois. You can contact this provider via phone number 3129321120 and fax number 3129321140. The mailing address for Midwest Brain Injury Clubhouse is 1010 N Hooker St, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Midwest Brain Injury Clubhouse
Address 1010 N Hooker St, Chicago, Illinois
Phone Number 3129321120
Fax Number 3129321140
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Giesler Deborah
Telephone Number 3129321120

NPI Number Detail

NPI Number 1275647315
Provider Enumeration Date 2006-08-18
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1010 N Hooker St
City Chicago
State Illinois (IL)
Post Code 606224549
Phone Number 3129321120
Fax Number 3129321140

Provider's Primary Taxonomy Detail

Speciality Voluntary Or Charitable
Taxonomy 251V00000X
Definition:
Nonprofit health or human services agency supported by charitable donations and volunteers.

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FAQs about Midwest Brain Injury Clubhouse

What is the unique 10-digit identification code assigned to Midwest Brain Injury Clubhouse by the Centers for Medicare & Medicaid Services?

The Midwest Brain Injury Clubhouse has been issued the NPI (National Provider Identifier) 1275647315, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Midwest Brain Injury Clubhouse is physically located?

The Midwest Brain Injury Clubhouse is situated at the following address: 1010 N Hooker St, Chicago, IL 606224549.

What is Midwest Brain Injury Clubhouse's specialized field of practice, and what is the corresponding taxonomy classification code?

The Midwest Brain Injury Clubhouse's area of specialization is Voluntary Or Charitable, and the corresponding taxonomy code that categorizes this field of practice is 251V00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1275647315 to Midwest Brain Injury Clubhouse?

The Centers for Medicare & Medicaid Services assigned the 1275647315 to Midwest Brain Injury Clubhouse on 2006-08-18.

As of what date were the details related to Midwest Brain Injury Clubhouse most recently updated or revised?

The information pertaining to Midwest Brain Injury Clubhouse, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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