Organization
REHABILITATION INSTITUTE OF CHICAGO
Active
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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