Organization
REHABILITATION INSTITUTE OF CHICAGO
Active
Other names
Shirley Ryan AbilityLab
Organization subpart
No
Provider details
NPI number
Authorized official
JONTHAN TINGSTAD CPA (CHIEF FINANCIAL OFFICER)
(312) 238-1000
Entity
Organization
Contact information
Practice address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-4270
(312) 238-7569
Mailing address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-4270
(312) 238-7569
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
354
BLUE CROSS
IL
Enumeration date
06/13/2006
Last updated
04/10/2019
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