Bridging The Tys To Jordan Inc in Chicago - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf)
Bridging The Tys To Jordan Inc - NPI 1083884019
Bridging The Tys To Jordan Inc is a Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) in Chicago, Illinois. Bridging The Tys To Jordan Inc practices all healthcare services and medical treatments related to Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf). The NPI Number for Bridging The Tys To Jordan Inc is 1083884019. The last update date is 2019-09-30.
Bridging The Tys To Jordan Inc's current location address is 7122 S Vincennes Ave, Chicago, Illinois. You can contact this provider via phone number 7734258159. The mailing address for Bridging The Tys To Jordan Inc is 7122 S Vincennes Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Bridging The Tys To Jordan Inc |
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Address | 7122 S Vincennes Ave, Chicago, Illinois |
Phone Number | 7734258159 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Everett Tyson |
Telephone Number | 7734258159 |
NPI Number Detail
NPI Number | 1083884019 |
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Provider Enumeration Date | 2008-03-05 |
Last Updated Date | 2019-09-30 |
Provider Mailing Address Detail
Address | 7122 S Vincennes Ave |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606212661 |
Phone Number | 7734258159 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) |
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Taxonomy | 261Qr0401X |
Definition: Provides intensive rehabilitation therapy after illness, injury, or surgery. |
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What is the unique 10-digit identification code assigned to Bridging The Tys To Jordan Inc by the Centers for Medicare & Medicaid Services?
The Bridging The Tys To Jordan Inc has been issued the NPI (National Provider Identifier) 1083884019, 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 Bridging The Tys To Jordan Inc is physically located?
The Bridging The Tys To Jordan Inc is situated at the following address: 7122 S Vincennes Ave, Chicago, IL 606212661.
What is Bridging The Tys To Jordan Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bridging The Tys To Jordan Inc is Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf), and the taxonomy code that categorizes this field of expertise is 261Qr0401X.
On what date did the Bridging The Tys To Jordan Inc receive the assignment of its 1083884019 from the Centers for Medicare & Medicaid Services?
The Bridging The Tys To Jordan Inc was issued its 1083884019 by the Centers for Medicare & Medicaid Services on 2008-03-05.
When was the information pertaining to Bridging The Tys To Jordan Inc most recently updated or revised?
The details related to Bridging The Tys To Jordan Inc, including its address, specialty, and other relevant information, were last updated or revised on 2019-09-30.