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Organization
INNOVATIVE OUTPATIENT MEDICAL SYSTEMS INC.
Active
Organization
INNOVATIVE OUTPATIENT MEDICAL SYSTEMS INC.
Active
Other names
Innovative Care Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA G COOK (INTERIM ADMINISTRATOR)
(708) 532-1337
Entity
Organization
Contact information
Practice address
18425 WEST CREEK DR STE B, TINLEY PARK, IL 60477-6768
(708) 532-1337
(708) 532-1899
Mailing address
18425 WEST CREEK DR STE B, TINLEY PARK, IL 60477-6768
(708) 532-1337
(708) 532-1899
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2278P1005X
Pulmonary Rehabilitation Certified Respiratory Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
144527
IL
Other
Enumeration date
07/11/2005
Last updated
05/30/2012
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